Provider Demographics
NPI:1881949022
Name:MOORE, JAIME LEIGH (LMHC)
Entity type:Individual
Prefix:MRS
First Name:JAIME
Middle Name:LEIGH
Last Name:MOORE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MISS
Other - First Name:JAIME
Other - Middle Name:LEIGH
Other - Last Name:LAPIERRE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:764 PENDLETON AVE
Mailing Address - Street 2:
Mailing Address - City:CHICOPEE
Mailing Address - State:MA
Mailing Address - Zip Code:01020-2950
Mailing Address - Country:US
Mailing Address - Phone:413-530-6099
Mailing Address - Fax:
Practice Address - Street 1:193 LOCUST ST STE 2
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060
Practice Address - Country:US
Practice Address - Phone:413-584-8700
Practice Address - Fax:413-584-1714
Is Sole Proprietor?:No
Enumeration Date:2012-07-13
Last Update Date:2019-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health