Provider Demographics
NPI:1952613911
Name:THE NORTHAMPTON CENTER FOR COUPLES
Entity Type:Organization
Organization Name:THE NORTHAMPTON CENTER FOR COUPLES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KERRY
Authorized Official - Middle Name:A
Authorized Official - Last Name:LUSIGNAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:413-626-4707
Mailing Address - Street 1:94 KING ST
Mailing Address - Street 2:2D
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3284
Mailing Address - Country:US
Mailing Address - Phone:413-626-4707
Mailing Address - Fax:413-369-4994
Practice Address - Street 1:94 KING ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3284
Practice Address - Country:US
Practice Address - Phone:413-626-4707
Practice Address - Fax:413-369-4994
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5153101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty