Provider Demographics
NPI:1710245204
Name:NORBERT ARTHUR BELLIVEAU CENTER FOR COMPASSIONATE CARE
Entity Type:Organization
Organization Name:NORBERT ARTHUR BELLIVEAU CENTER FOR COMPASSIONATE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:NORBERT
Authorized Official - Middle Name:A
Authorized Official - Last Name:BELLIVEAU
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:413-835-1299
Mailing Address - Street 1:46 EVERGREEN RD
Mailing Address - Street 2:APT 302
Mailing Address - City:LEEDS
Mailing Address - State:MA
Mailing Address - Zip Code:01053-9741
Mailing Address - Country:US
Mailing Address - Phone:413-835-1299
Mailing Address - Fax:
Practice Address - Street 1:8 TRUMBULL RD
Practice Address - Street 2:SUITE 304
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3079
Practice Address - Country:US
Practice Address - Phone:413-835-1299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-02
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1161321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty