Provider Demographics
NPI:1851379846
Name:SILLARS, FAITH EVANGELINE (MA NCC LCMBC)
Entity Type:Individual
Prefix:
First Name:FAITH
Middle Name:EVANGELINE
Last Name:SILLARS
Suffix:
Gender:F
Credentials:MA NCC LCMBC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 74
Mailing Address - Street 2:
Mailing Address - City:PITTSFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03263-0074
Mailing Address - Country:US
Mailing Address - Phone:603-435-5352
Mailing Address - Fax:
Practice Address - Street 1:14 LEAVITT RD
Practice Address - Street 2:
Practice Address - City:PITTSFIELD
Practice Address - State:NH
Practice Address - Zip Code:03263-0074
Practice Address - Country:US
Practice Address - Phone:603-435-5352
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH281101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30420255Medicaid
363864OtherMAGELLAN
2018645OtherCIGNA