Healthcare Provider Details

I. General information

NPI: 1558231332
Provider Name (Legal Business Name): HOPE VALLEY HEALING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 11/07/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

82 WENDELL AVE STE 100
PITTSFIELD MA
01201-7066
US

IV. Provider business mailing address

11 JOLICOEUR RD
SPENCER MA
01562-3021
US

V. Phone/Fax

Practice location:
  • Phone: 775-220-8701
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: KELSEY HENDON
Title or Position: MENTAL HEALTH THERAPIST
Credential: LICSW
Phone: 775-220-8701