Provider Demographics
NPI:1699037374
Name:JMA COUNSELING
Entity type:Organization
Organization Name:JMA COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER; CLINICAL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:JORDANA
Authorized Official - Middle Name:
Authorized Official - Last Name:AMATO
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:413-687-4885
Mailing Address - Street 1:PO BOX 60263
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-0263
Mailing Address - Country:US
Mailing Address - Phone:413-687-4885
Mailing Address - Fax:
Practice Address - Street 1:7 HADLEY ST
Practice Address - Street 2:SUITE 2L
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-1147
Practice Address - Country:US
Practice Address - Phone:413-687-4885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1155541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty