Shizuyo Ichikawa-Ha
Counselor, Mental Health in Millbury, Massachusetts
1073970869- Practice location
- 24 Forest Dr, Millbury, MA 01527-3014
- Phone
- 774-552-8505
- Fax
- —
- Last updated
- December 4, 2022
Shizuyo Ichikawa-Ha is a Counselor, Mental Health based in Millbury, MA. Shizuyo Ichikawa-Ha practices in Millbury, MA. The NPI Number for Shizuyo Ichikawa-Ha is 1073970869 and holds a License No. 13191 (MA). The current practice location address for Shizuyo Ichikawa-Ha is 24 Forest Dr, Millbury, MA 01527-3014 and can be reached out via phone at 774-552-8505.
Provider Profile Details
- NPI Number
- 1073970869
- Provider Name
- Shizuyo Ichikawa-Ha
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 24 Forest Dr, Millbury, MA 01527-3014
- Phone Number
- 774-552-8505
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- January 25, 2016
- Last Update Date
- December 4, 2022
- Certification Date
- December 4, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 24 Forest Dr
Millbury, MA 01527-3014 - City
- Millbury
- State
- Massachusetts
- Zip
- 01527-3014
- Phone Number
- 774-552-8505
Provider Business Mailing Address Details
- Address
- Po Box 137
Grafton, MA 01519-0137 - City
- Grafton
- State
- MA
- Zip
- 01519-0137
License Information
- Taxonomy (1)
- Case Manager/Care Coordinator · 171M00000X
- License Number (2)
- 13191
- License State (2)
- MA
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Shizuyo Ichikawa-Ha?
The NPI number of Shizuyo Ichikawa-Ha is 1073970869. It was assigned on January 25, 2016 and is currently active in the NPPES registry.
What is the specialty of Shizuyo Ichikawa-Ha?
Shizuyo Ichikawa-Ha is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 13191.
Where does Shizuyo Ichikawa-Ha practice?
The practice location is 24 Forest Dr, Millbury, MA 01527-3014. The office can be reached at 774-552-8505 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1073970869 directly on the NPPES registry website.