Healthcare Provider Details
I. General information
NPI: 1942162474
Provider Name (Legal Business Name): SEASONS OF CHANGE COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/02/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
82 WENDELL AVE STE 100
PITTSFIELD MA
01201-7066
US
IV. Provider business mailing address
82 WENDELL AVE STE 100
PITTSFIELD MA
01201-7066
US
V. Phone/Fax
- Phone: 617-299-0195
- Fax:
- Phone: 617-299-0195
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
EVA
RUBINOFF
Title or Position: OWNER / THERAPIST
Credential: LMHC
Phone: 617-299-0195