Provider Demographics
NPI:1902609746
Name:SAINT VIL, CARL
Entity type:Individual
Prefix:
First Name:CARL
Middle Name:
Last Name:SAINT VIL
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HILLSIDE CIR
Mailing Address - Street 2:
Mailing Address - City:WEST SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01089-4679
Mailing Address - Country:US
Mailing Address - Phone:413-530-9276
Mailing Address - Fax:
Practice Address - Street 1:200 HILLSIDE CIR
Practice Address - Street 2:
Practice Address - City:WEST SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01089-4679
Practice Address - Country:US
Practice Address - Phone:413-539-9276
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health