Provider / Organization | NPI | Date Certified |
---|---|---|
ERICHA FAHRNER | 1598324485 | 2024-01-07 |
Ericha Fahrner is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1598324485. Registration indicates Ericha Fahrner is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )
Entity Type | Individual |
Provider Name | Ericha Fahrner LICSW |
Practice Office Address | 103 BAY ST MANCHESTER, NH US |
Practice Office Telephone | 6037098560 |
Mailing Address | 520 CATAMOUNT RD PITTSFIELD, NH 032633811 US |
Business Telephone | 6037098560 |
Business Fax | 8007766681 |
Address | City / State | Phone / Fax |
---|---|---|
14 Leavitt Rd | Pittsfield, NH 032633203 | 6037098560 |
Direct Messaging Address [] | TheMentalHealthCenterofGreaterManchester@mhcgm.netsmartdirect.net | Health Information Exchange (HIE) |
Code | Practice | License No State |
---|---|---|
104100000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | |
1041C0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker: Clinical Behavioral Health/Substance Abuse/Psychiatry Social Worker Clinical Behavioral Health & Social Service Providers Social Worker | 2755
NH |