Provider Demographics
NPI:1386456853
Name:NEIGHBORHOOD GUIDANCE, LLC
Entity type:Organization
Organization Name:NEIGHBORHOOD GUIDANCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:JENKINS
Authorized Official - Suffix:JR
Authorized Official - Credentials:LICSW
Authorized Official - Phone:413-505-7055
Mailing Address - Street 1:88 GREENE ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01109-4304
Mailing Address - Country:US
Mailing Address - Phone:413-505-7055
Mailing Address - Fax:
Practice Address - Street 1:88 GREENE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01109-4304
Practice Address - Country:US
Practice Address - Phone:413-505-7055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-22
Last Update Date:2025-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)