Provider Demographics
NPI:1053179135
Name:ERIN NEIL KOLASINSKI, LICSW, LLC
Entity type:Organization
Organization Name:ERIN NEIL KOLASINSKI, LICSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEIL KOLASINSKI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:413-522-2646
Mailing Address - Street 1:252 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-2017
Mailing Address - Country:US
Mailing Address - Phone:413-522-2646
Mailing Address - Fax:
Practice Address - Street 1:252 MAIN ST
Practice Address - Street 2:
Practice Address - City:EASTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01027-2017
Practice Address - Country:US
Practice Address - Phone:413-203-9313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-12
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health