Leris Rosa is a Counselor based in Springfield, MA. Leris Rosa practices in Springfield, MA. The NPI Number for Leris Rosa is 1942859533 and holds a License No. (Massachusetts).
The current practice location address for Leris Rosa is 2155 Main St, Springfield, MA and can be reached out via phone at 413-736-8329.
Location: 2155 Main St, Springfield, MA, 01104-3301
Provider Profile Details
NPI Number
1942859533
Provider Name
Leris Rosa
Credential
Provider Entity Type
Individual
Gender
Female
Address
2155 Main St, Springfield, MA, 01104-3301
Phone Number
413-736-8329
Fax Number
Provider Enumeration Date
09/06/2019
Last Update Date
03/10/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134107113 | 05 | MA | |
| 12529 | 01 | MA | HNE |
| 1134107113 | 01 | MA | MBHP |
| 1134107113 | 01 | MA | BEACON |
| 042622756 | 01 | MA | CCA |
| 1134107113 | 01 | MA | NHP |
| 1134107113 | 01 | MA | FALLON |
| 71756 | 01 | MA | TUFTS |
| 997303 | 01 | MA | NETWORK HEALTH |
| Y10086 | 01 | MA | MEDICARE |
Provider Business Practice Location Address Details
Address
2155 Main St
City
State
Zip
01104-3301
Phone Number
413-736-8329
Fax Number
Provider Business Mailing Address Details
Address
2155 Main St
City
State
Zip
01104-3301
Phone Number
413-736-8329
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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