Healthcare Provider Details

I. General information

NPI: 1447569736
Provider Name (Legal Business Name): MENDEL M MOK LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ROSE MARY M MOK LMHC

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 BRIGGS ST STE 516
EASTHAMPTON MA
01027-1738
US

IV. Provider business mailing address

PO BOX 351
NORTHAMPTON MA
01061-0351
US

V. Phone/Fax

Practice location:
  • Phone: 413-588-6051
  • Fax:
Mailing address:
  • Phone: 413-588-6051
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number9870
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: