Provider Demographics
NPI:1730195124
Name:CASELLA, EILEEN ANNE (LMHC)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:ANNE
Last Name:CASELLA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 ORCHARD ST
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9691
Mailing Address - Country:US
Mailing Address - Phone:413-253-0598
Mailing Address - Fax:
Practice Address - Street 1:39 UNION ST
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-1468
Practice Address - Country:US
Practice Address - Phone:413-529-1764
Practice Address - Fax:413-529-9047
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5346101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health