Healthcare Provider Details

I. General information

NPI: 1275872871
Provider Name (Legal Business Name): FAMILY MENTAL HEALTH SERVICES OF NORTHAMPTON
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2013
Last Update Date: 01/01/2020
Certification Date: 01/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 SOUTH ST
GRANBY MA
01033-9572
US

IV. Provider business mailing address

6 SOUTH ST
GRANBY MA
01033-9572
US

V. Phone/Fax

Practice location:
  • Phone: 413-330-1277
  • Fax: 413-566-1156
Mailing address:
  • Phone: 413-330-1277
  • Fax: 413-566-1156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: SHARON A LEHMANN
Title or Position: OWNER/PROVIDER
Credential: NP
Phone: 413-330-1277