Healthcare Provider Details

I. General information

NPI: 1134031560
Provider Name (Legal Business Name): EMMA FLAVIN STANTON, LMHC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 CUMMINGS CTR STE 341J
BEVERLY MA
01915-6500
US

IV. Provider business mailing address

100 CUMMINGS CTR STE 341J
BEVERLY MA
01915-6500
US

V. Phone/Fax

Practice location:
  • Phone: 781-664-9755
  • Fax:
Mailing address:
  • Phone: 781-664-9755
  • 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: EMMA FLAVIN STANTON
Title or Position: OWNER/THERAPIST
Credential: LMHC
Phone: 508-439-9033