Healthcare Provider Details

I. General information

NPI: 1922850791
Provider Name (Legal Business Name): HER JOURNEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2024
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 LAURENCE ST
SPRINGFIELD MA
01104-2607
US

IV. Provider business mailing address

25 LAURENCE ST
SPRINGFIELD MA
01104-2607
US

V. Phone/Fax

Practice location:
  • Phone: 413-459-1566
  • Fax:
Mailing address:
  • Phone: 413-459-1566
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LAURIE LAUTURE-BEST
Title or Position: SOCIAL WORKER
Credential:
Phone: 413-459-1566