Healthcare Provider Details
I. General information
NPI: 1124980925
Provider Name (Legal Business Name): PATHWAY TO SERENITY PSYCHIATRY PROFESSIONAL LIMITED LIABILITY COM
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/01/2025
Last Update Date: 03/09/2026
Certification Date: 03/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
247 NORTHAMPTON ST STE 26
EASTHAMPTON MA
01027-1054
US
IV. Provider business mailing address
15 KINGS HWY
WESTHAMPTON MA
01027-9506
US
V. Phone/Fax
- Phone: 413-343-7317
- Fax: 413-343-7318
- Phone: 413-343-7317
- Fax: 413-343-7318
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHANNA
KOLODZIEJ
Title or Position: PROVIDER & PRACTICE OWNER
Credential: APRN
Phone: 413-695-9712