Healthcare Provider Details

I. General information

NPI: 1013367762
Provider Name (Legal Business Name): HEATHER KUHN MA, R-DMT, RSMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/14/2016
Last Update Date: 09/26/2021
Certification Date: 09/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 HIGH ST
GREENFIELD MA
01301-2973
US

IV. Provider business mailing address

28 HIGH ST
GREENFIELD MA
01301-2973
US

V. Phone/Fax

Practice location:
  • Phone: 508-523-9429
  • Fax:
Mailing address:
  • Phone: 508-523-9429
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12143-MH-CC
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number120900
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: