Provider Demographics
NPI:1285104141
Name:MENTAL HEALTH ASSOCIATION, INC.
Entity type:Organization
Organization Name:MENTAL HEALTH ASSOCIATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP OF FINANCE
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-233-5376
Mailing Address - Street 1:350 MEMORIAL DR
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-5000
Mailing Address - Country:US
Mailing Address - Phone:413-734-5376
Mailing Address - Fax:413-737-7949
Practice Address - Street 1:1 FEDERAL ST BLDG 103-1
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01105-1199
Practice Address - Country:US
Practice Address - Phone:413-734-5376
Practice Address - Fax:413-737-7949
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-04
Last Update Date:2024-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health