Provider Demographics
NPI:1720961881
Name:CO-REGULATION SPACE
Entity type:Organization
Organization Name:CO-REGULATION SPACE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HANNAH
Authorized Official - Middle Name:H
Authorized Official - Last Name:CARUSO
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:413-537-2373
Mailing Address - Street 1:267 PONDVIEW DR
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-3253
Mailing Address - Country:US
Mailing Address - Phone:413-537-2373
Mailing Address - Fax:
Practice Address - Street 1:267 PONDVIEW DR
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-3253
Practice Address - Country:US
Practice Address - Phone:413-537-2373
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-28
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty