Sousa, Gesibela

Sousa, Gesibela is an individual health care provider with primary practice located at 120 Maple St , Springfield MA 01103-2203. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Sousa, Gesibela can be contacted via phone (413) 846-0445.

Contact Information

Primary practice address
120 Maple St Springfield MA 01103-2203
Phone: (413) 846-0445
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1982944476
LBN Legal business name Sousa, Gesibela
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2013
Last updated Feb 21st, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982944476 NPPES
Massachusetts Other M18463 BLUE CROSS/BLUE SHIELD
Massachusetts MEDICAID 1303295 BLUE CROSS/BLUE SHIELD
Massachusetts MEDICAID 1307576 BLUE CROSS/BLUE SHIELD

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