Melissa Moura
Individual provider Active NPI Counselor · Holyoke, MA
NPI 1902391899 · NPPES record last updated Jun 25, 2018
Key facts
- NPI
- 1902391899
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 80 Commercial St
Holyoke, MA 01040-4704 - Phone
- (413) 846-0445
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gandara Mental Health Center | Counselor | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
80 Commercial St
Holyoke, MA 01040-4704
Mailing address
80 Commercial St
Holyoke, MA 01040-4704
Phone (413) 846-0445
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134107113 | Other | MA | NHP |
| 12529 | Other | MA | HNE |
| 997303 | Other | MA | NETWORK HEALTH |
| 1134107113 | Other | MA | MBHP |
| Y10086 | Other | MA | MEDICARE |
| 1134107113 | Medicaid | MA | |
| 1134107113 | Other | MA | BEACON |
| 71756 | Other | MA | TUFTS |
| 042622756 | Other | MA | CCA |
| 1134107113 | Other | MA | FALLON |
Other providers in Holyoke, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 25, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.