Provider Demographics
NPI:1225908676
Name:JOHN BRELSFORD, SOLE PROPRIETOR
Entity type:Organization
Organization Name:JOHN BRELSFORD, SOLE PROPRIETOR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:BRELSFORD
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LMHC
Authorized Official - Phone:413-433-1775
Mailing Address - Street 1:123 UNION ST STE 204
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-4100
Mailing Address - Country:US
Mailing Address - Phone:413-433-1775
Mailing Address - Fax:413-433-1775
Practice Address - Street 1:123 UNION ST STE 204
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-4100
Practice Address - Country:US
Practice Address - Phone:413-433-1775
Practice Address - Fax:413-433-1775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-10
Last Update Date:2025-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty