Healthcare Provider Details

I. General information

NPI: 1235003443
Provider Name (Legal Business Name): CHARMAE BARTLETT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2025
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 WEST ST
GREENFIELD MA
01301-2812
US

IV. Provider business mailing address

20 WEST ST
GREENFIELD MA
01301-2812
US

V. Phone/Fax

Practice location:
  • Phone: 413-834-9106
  • 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 StateMA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: