Provider Demographics
NPI:1609940253
Name:PLESHETTE, GARNET EVE (LMHC)
Entity Type:Individual
Prefix:MS
First Name:GARNET
Middle Name:EVE
Last Name:PLESHETTE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 BURLINGAME HL
Mailing Address - Street 2:
Mailing Address - City:ADAMS
Mailing Address - State:MA
Mailing Address - Zip Code:01220-9750
Mailing Address - Country:US
Mailing Address - Phone:413-743-1201
Mailing Address - Fax:
Practice Address - Street 1:120 BURLINGAME HL
Practice Address - Street 2:
Practice Address - City:ADAMS
Practice Address - State:MA
Practice Address - Zip Code:01220-9750
Practice Address - Country:US
Practice Address - Phone:413-743-1201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMH 109-ED101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MALM 0724OtherBLUE CROSS BLUE SHIELD MA