Provider Demographics
NPI:1336336692
Name:ENRIGHT, GARY R (MED, LMHC)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:R
Last Name:ENRIGHT
Suffix:
Gender:M
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 AMHERST ST
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-2019
Mailing Address - Country:US
Mailing Address - Phone:413-533-7779
Mailing Address - Fax:
Practice Address - Street 1:26 AMHERST ST
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-2019
Practice Address - Country:US
Practice Address - Phone:413-533-7779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2007-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALM0619101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health