Healthcare Provider Details
I. General information
NPI: 1215651237
Provider Name (Legal Business Name): YOU GOT CHOICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/03/2022
Last Update Date: 10/03/2022
Certification Date: 10/03/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1 COTTAGE ST STE 518
EASTHAMPTON MA
01027-1672
US
IV. Provider business mailing address
236 CHESTERFIELD RD
LEEDS MA
01053-9772
US
V. Phone/Fax
- Phone: 413-561-7270
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
SHANNA
FISHEL
Title or Position: MANAGER
Credential: LICSW
Phone: 413-561-7270