Provider Demographics
NPI:1881735199
Name:DAVILA, VIRMARIT (PHD, LMHC)
Entity type:Individual
Prefix:DR
First Name:VIRMARIT
Middle Name:
Last Name:DAVILA
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 BLANDING STREET
Mailing Address - Street 2:
Mailing Address - City:INDIAN ORCHARD
Mailing Address - State:MA
Mailing Address - Zip Code:01151
Mailing Address - Country:US
Mailing Address - Phone:413-306-3599
Mailing Address - Fax:413-747-9122
Practice Address - Street 1:140 HIGH STREET
Practice Address - Street 2:SUITE 300
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103
Practice Address - Country:US
Practice Address - Phone:413-306-3599
Practice Address - Fax:413-747-9122
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2013-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7222101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health