Healthcare Provider Details

I. General information

NPI: 1831627546
Provider Name (Legal Business Name): MELIA MARY HOFFMAN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/24/2017
Last Update Date: 05/24/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

877 SOUTH ST STE 200
PITTSFIELD MA
01201-8243
US

IV. Provider business mailing address

7 CEMETERY HILL RD
STEPHENTOWN NY
12168-2904
US

V. Phone/Fax

Practice location:
  • Phone: 413-236-5656
  • Fax: 413-499-6572
Mailing address:
  • Phone: 518-322-6152
  • 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:
Title or Position:
Credential:
Phone: