Provider Demographics
NPI:1376266577
Name:JOELLA RAICHE COUNSELING SERVICES, INC
Entity Type:Organization
Organization Name:JOELLA RAICHE COUNSELING SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:JOELLA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:RAICHE
Authorized Official - Suffix:
Authorized Official - Credentials:MED, LMHC
Authorized Official - Phone:413-459-2825
Mailing Address - Street 1:1981 MEMORIAL DR STE 160
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-4322
Mailing Address - Country:US
Mailing Address - Phone:413-459-2825
Mailing Address - Fax:
Practice Address - Street 1:45 LYMAN TER
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-2623
Practice Address - Country:US
Practice Address - Phone:413-459-2825
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-22
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty