Basic Information
| Provider Information | |||||||||
| NPI: | 1184344988 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | BEENCOURAGED COUNSELING & CONSULTING LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 18 FERRIN DR | ||||||||
| Address2: | |||||||||
| City: | SOUTHWICK | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010779265 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1415054822 | ||||||||
| FaxNumber: | 4139983221 | ||||||||
| Practice Location | |||||||||
| Address1: | 1233 WESTFIELD ST STE 2 | ||||||||
| Address2: | |||||||||
| City: | WEST SPRINGFIELD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 010893807 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 1413505482 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 08/31/2022 | ||||||||
| LastUpdateDate: | 08/31/2022 | ||||||||
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| AuthorizedOfficialLastName: | SCOTT | ||||||||
| AuthorizedOfficialFirstName: | ADMINDA | ||||||||
| AuthorizedOfficialMiddleName: | IRIS | ||||||||
| AuthorizedOfficialTitleorPosition: | CLINICIAN | ||||||||
| AuthorizedOfficialTelephone: | 4135054822 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | ED.D, LMHC | ||||||||
| NPICertificationDate: | 08/31/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | Y | 193400000X SINGLE SPECIALTY GROUP | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.