Healthcare Provider Details

I. General information

NPI: 1295491769
Provider Name (Legal Business Name): RUHAMI J VALENTIN LMHC LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 CONVERSE ST STE 205
LONGMEADOW MA
01106-1760
US

IV. Provider business mailing address

1200 CONVERSE ST STE 205
LONGMEADOW MA
01106-1760
US

V. Phone/Fax

Practice location:
  • Phone: 413-379-2790
  • Fax:
Mailing address:
  • Phone: 413-379-2790
  • 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: RUHAMI JANET VALENTIN
Title or Position: MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 413-379-2790