Healthcare Provider Details

I. General information

NPI: 1376799866
Provider Name (Legal Business Name): EILEEN M FLAHERTY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 04/27/2026
Certification Date: 04/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

607 PLEASANT ST
ATTLEBORO MA
02703-2570
US

IV. Provider business mailing address

607 PLEASANT ST
ATTLEBORO MA
02703-2570
US

V. Phone/Fax

Practice location:
  • Phone: 508-223-4691
  • Fax: 508-427-5361
Mailing address:
  • Phone: 508-223-4691
  • Fax: 508-427-5361

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLMHC12841
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: