Healthcare Provider Details

I. General information

NPI: 1336063502
Provider Name (Legal Business Name): YOUR EVERLASTING SOLUTION INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

460 GRANBY RD
SOUTH HADLEY MA
01075-2145
US

IV. Provider business mailing address

460 GRANBY RD
SOUTH HADLEY MA
01075-2145
US

V. Phone/Fax

Practice location:
  • Phone: 413-733-2499
  • Fax: 413-255-0443
Mailing address:
  • Phone: 413-733-2499
  • Fax: 413-255-0443

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246Z00000X
TaxonomyOther Specialist/Technologist
License Number
License Number State

VIII. Authorized Official

Name: CHERIE RENEE BRISEBOIS-TETRAULT
Title or Position: ELECTROLOGIST MICRO SURGERY
Credential: RE LE CLT LLT
Phone: 413-733-2499