Provider Demographics
NPI:1720568157
Name:SHAREVISION, INC.
Entity Type:Organization
Organization Name:SHAREVISION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO, EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LISA
Authorized Official - Middle Name:D
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:EDD LICSW
Authorized Official - Phone:413-221-4625
Mailing Address - Street 1:PO BOX 3444
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01004-3444
Mailing Address - Country:US
Mailing Address - Phone:413-588-5800
Mailing Address - Fax:413-258-3434
Practice Address - Street 1:217 RUSSELL ST STE 1
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-5912
Practice Address - Country:US
Practice Address - Phone:413-586-5800
Practice Address - Fax:413-256-3434
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10207131041C0700X
MA813106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty