Healthcare Provider Details

I. General information

NPI: 1316600943
Provider Name (Legal Business Name): ELIZABETH GELOTTE NBC-HWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/20/2021
Last Update Date: 10/20/2021
Certification Date: 10/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 HIGH POINT DR
AMHERST MA
01002-1223
US

IV. Provider business mailing address

15 ELM ST
HATFIELD MA
01038-9717
US

V. Phone/Fax

Practice location:
  • Phone: 413-200-9897
  • Fax: 413-417-2547
Mailing address:
  • Phone: 413-588-8778
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: