| Trailhead Psychotherapy, Llc | |
|
110 N Hillside Rd Ste 19 South Deerfield MA 01373-9727 | |
| (413) 387-8355 | |
| Not Available |
| Full Name | Trailhead Psychotherapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 110 N Hillside Rd Ste 19, South Deerfield, Massachusetts |
| Authorized Official Name and Position | Melissa L Eich-richardson (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 4133878355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trailhead Psychotherapy, Llc 110 N Hillside Rd Ste 21 South Deerfield MA 01373-9727 Ph: (413) 387-8355 | Trailhead Psychotherapy, Llc 110 N Hillside Rd Ste 19 South Deerfield MA 01373-9727 Ph: (413) 387-8355 |
| NPI Number | 1720635865 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 09/19/2022 |
| Certification Date | 09/19/2022 |
| Medicare PECOS PAC ID | 3870931348 |
|---|---|
| Medicare Enrollment ID | O20240403000176 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720635865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa Leann Eich-richardson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386026789 PECOS PAC ID: 1658611306 Enrollment ID: I20190318000407 |
Duarji M Rivas, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 69 Hillside Rd Apt A, South Deerfield, MA 01373 Phone: 413-330-5369 | |
Clinical Art Associates, Ll Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 235 Greenfield Rd, South Deerfield, MA 01373 Phone: 413-665-2110 Fax: 413-774-7021 | |
Grant Bialek Licsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 66 Sugarloaf St, South Deerfield, MA 01373 Phone: 413-453-9210 | |
Jen Malcolm-brown, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 110 N Hillside Rd Ste 21, South Deerfield, MA 01373 Phone: 413-450-0001 Fax: 413-450-0009 |