Healthcare Provider Details

I. General information

NPI: 1043031792
Provider Name (Legal Business Name): GIANNA BARILE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2024
Last Update Date: 10/24/2024
Certification Date: 10/24/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ARCH PL
GREENFIELD MA
01301-2457
US

IV. Provider business mailing address

3 OLIVE AVE # 1R
HOLYOKE MA
01040-2420
US

V. Phone/Fax

Practice location:
  • Phone: 413-774-5411
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: