Healthcare Provider Details

I. General information

NPI: 1609485606
Provider Name (Legal Business Name): ZEPHYR BEHAVIORAL HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2020
Last Update Date: 12/27/2021
Certification Date: 12/27/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

62 MAIN ST BLDG 2-3U
HATFIELD MA
01038-7920
US

IV. Provider business mailing address

181 FRIZZELL HILL RD
LEYDEN MA
01337-9486
US

V. Phone/Fax

Practice location:
  • Phone: 413-247-6364
  • Fax: 413-247-6163
Mailing address:
  • Phone: 413-522-5492
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QD1600X
TaxonomyDevelopmental Disabilities Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LIZA ASHLEY
Title or Position: FOUNDER
Credential:
Phone: 413-247-6364