MEDICARE: KIMBERLY RUTH SALVAS M.ED, LMHC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1134431992
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KIMBERLY RUTH SALVAS M.ED, LMHC

Provider Business Mailing Address
First Line	:	8 ATWOOD DR STE 201
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-4266
Country	:	US
Telephone Number	:	413-582-0471
Fax Number	:	413-585-9765

Provider Business Practice Location Address
First Line	:	8 ATWOOD DR STE 201
Second Line	:
City	:	NORTHAMPTON
State	:	MA
Zip	:	01060-4266
Country	:	US
Telephone Number	:	134-582-0471
Fax Number	:	413-585-9765

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2010
Last Update Date	:	06/28/2021

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