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NPI Code Detail

MEDICARE: DARE THERAPY PLLC

MEDICARE: DARE THERAPY PLLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1235085713
Entity Type Code : Organization
Provider Name (Legal Business Name) : DARE THERAPY PLLC
Provider Business Mailing Address
First Line : 361 NEWBURY ST
Second Line :
City : BOSTON
State : MA
Zip : 02115-2727
Country : US
Telephone Number : 617-297-7774
Fax Number :
Provider Business Practice Location Address
First Line : 361 NEWBURY ST
Second Line :
City : BOSTON
State : MA
Zip : 02115-2727
Country : US
Telephone Number : 617-297-7774
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. CODIE VASSAR
Credential :
Telephone Number : 414-690-0069
Provider Enumeration Date : 03/07/2026
Last Update Date : 03/09/2026

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