Amanda L Bergquist
Counselor, Mental Health in Holyoke, Massachusetts
1164074241- Practice location
- 303 Beech St, Holyoke, MA 01040-3968
- Phone
- 413-540-1155
- Fax
- —
- Last updated
- April 5, 2024
Amanda Lissner Bergquist is a Counselor, Mental Health based in Holyoke, MA. Amanda Lissner Bergquist practices in Holyoke, MA. The NPI Number for Amanda Lissner Bergquist is 1164074241 and holds a License No. 5000774 (MA). The current practice location address for Amanda Lissner Bergquist is 303 Beech St, Holyoke, MA 01040-3968 and can be reached out via phone at 413-540-1155.
Provider Profile Details
- NPI Number
- 1164074241
- Provider Name
- Amanda Lissner Bergquist
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 303 Beech St, Holyoke, MA 01040-3968
- Phone Number
- 413-540-1155
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 10, 2019
- Last Update Date
- April 5, 2024
- Certification Date
- April 5, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 303 Beech St
Holyoke, MA 01040-3968 - City
- Holyoke
- State
- Massachusetts
- Zip
- 01040-3968
- Phone Number
- 413-540-1155
Provider Business Mailing Address Details
- Address
- 511 Main St
Hampden, MA 01036-9640 - City
- Hampden
- State
- MA
- Zip
- 01036-9640
License Information
- License Number
- 5000774
- License State
- MA
- Taxonomy
- 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 Amanda L Bergquist?
The NPI number of Amanda L Bergquist is 1164074241. It was assigned on July 10, 2019 and is currently active in the NPPES registry.
What is the specialty of Amanda L Bergquist?
Amanda L Bergquist is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 5000774.
Where does Amanda L Bergquist practice?
The practice location is 303 Beech St, Holyoke, MA 01040-3968. The office can be reached at 413-540-1155 (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 1164074241 directly on the NPPES registry website.