Provider Demographics
NPI:1083485296
Name:BG CHILD AND YOUTH COUNSELING
Entity Type:Organization
Organization Name:BG CHILD AND YOUTH COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LMHC
Authorized Official - Prefix:
Authorized Official - First Name:BRITTANY
Authorized Official - Middle Name:
Authorized Official - Last Name:GODDEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-259-0475
Mailing Address - Street 1:312 VALLEY VIEW DR
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-4132
Mailing Address - Country:US
Mailing Address - Phone:413-259-0475
Mailing Address - Fax:
Practice Address - Street 1:312 VALLEY VIEW DR
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-4132
Practice Address - Country:US
Practice Address - Phone:413-259-0475
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-16
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health