Healthcare Provider Details

I. General information

NPI: 1023900537
Provider Name (Legal Business Name): MEADOWHILL BEHAVIORAL HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

74 COLES MEADOW RD
NORTHAMPTON MA
01060-1104
US

IV. Provider business mailing address

3 BRANT DR
MERRIMACK NH
03054-3300
US

V. Phone/Fax

Practice location:
  • Phone: 603-440-8618
  • Fax:
Mailing address:
  • Phone: 603-440-8618
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: DENNIS THERIAULT
Title or Position: COMPLIANCE DIRECTOR
Credential:
Phone: 603-440-8618