Provider Demographics
NPI:1467132068
Name:WITHIN A COMMON BOND
Entity Type:Organization
Organization Name:WITHIN A COMMON BOND
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SAMANTHA
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:MACHADO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:413-636-6010
Mailing Address - Street 1:200 SILVER ST UNIT 216
Mailing Address - Street 2:
Mailing Address - City:AGAWAM
Mailing Address - State:MA
Mailing Address - Zip Code:01001-3067
Mailing Address - Country:US
Mailing Address - Phone:413-636-6010
Mailing Address - Fax:
Practice Address - Street 1:200 SILVER ST UNIT 216
Practice Address - Street 2:
Practice Address - City:AGAWAM
Practice Address - State:MA
Practice Address - Zip Code:01001-3067
Practice Address - Country:US
Practice Address - Phone:413-636-6010
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-19
Last Update Date:2023-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty