Organization
TRIBE INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WINIFRED MARTIN LICSW (CLINICAL SOCIAL WORKER)
(413) 657-6190
Entity
Organization
Contact information
Practice address
280 N MAIN ST STE 2, EAST LONGMEADOW, MA 01028-1814
(413) 224-2008
Mailing address
280 N MAIN ST STE 2, EAST LONGMEADOW, MA 01028-1814
(413) 224-2008
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/31/2022
Last updated
02/09/2023
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