Healthcare Provider Details

I. General information

NPI: 1194555888
Provider Name (Legal Business Name): THROUGH THICK & THIN THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2024
Last Update Date: 08/06/2024
Certification Date: 08/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 RIVERDALE ST STE 195
WEST SPRINGFIELD MA
01089-4900
US

IV. Provider business mailing address

900 RIVERDALE ST STE 195
WEST SPRINGFIELD MA
01089-4900
US

V. Phone/Fax

Practice location:
  • Phone: 413-203-9781
  • Fax:
Mailing address:
  • Phone: 413-203-9781
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: RACHEL DELANO
Title or Position: OWNER/ SOCIAL WORKER
Credential: LICSW
Phone: 413-203-9781