Healthcare Provider Details

I. General information

NPI: 1861856833
Provider Name (Legal Business Name): MS. ALEXANDRA PESSOLANO NATALONI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2016
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 S MEADOW RD
EAST LONGMEADOW MA
01028-3108
US

IV. Provider business mailing address

119 INDUSTRIAL DR UNIT 57
EAST LONGMEADOW MA
01028-7703
US

V. Phone/Fax

Practice location:
  • Phone: 508-784-1372
  • Fax:
Mailing address:
  • Phone: 508-784-1372
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10797
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: