Provider Demographics
NPI:1649311788
Name:RAINAUD, SIMONE NADINE (MA, LMFT)
Entity type:Individual
Prefix:MS
First Name:SIMONE
Middle Name:NADINE
Last Name:RAINAUD
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 BOYLSTON ST
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-1501
Mailing Address - Country:US
Mailing Address - Phone:774-259-6309
Mailing Address - Fax:855-952-2024
Practice Address - Street 1:3 BOYLSTON ST
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1501
Practice Address - Country:US
Practice Address - Phone:774-259-6309
Practice Address - Fax:855-952-2024
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-10
Last Update Date:2025-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
MA1411106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health