Healthcare Provider Details

I. General information

NPI: 1477445732
Provider Name (Legal Business Name): DARLENE DE BARROS SOUZA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/18/2025
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 WATER ST
ARLINGTON MA
02476-4808
US

IV. Provider business mailing address

437 D ST APT 2A
BOSTON MA
02210-1983
US

V. Phone/Fax

Practice location:
  • Phone: 781-218-2377
  • Fax: 781-995-0462
Mailing address:
  • Phone: 805-350-1449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: