Healthcare Provider Details

I. General information

NPI: 1114715265
Provider Name (Legal Business Name): NEIGHBORHOOD GROWTH COLLABORATIVE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2025
Last Update Date: 04/29/2025
Certification Date: 04/29/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 WENDELL AVE STE 100
PITTSFIELD MA
01201-7066
US

IV. Provider business mailing address

9 GLEN RAIN RD
DAYVILLE CT
06241-1853
US

V. Phone/Fax

Practice location:
  • Phone: 508-640-5733
  • 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
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CYNTHIA C WILLIAMS
Title or Position: EXECUTIVE DIRECTOR
Credential: MA, LMHC
Phone: 508-640-5733