Healthcare Provider Details

I. General information

NPI: 1336948801
Provider Name (Legal Business Name): JAMILA BATTS CAPITMAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2025
Last Update Date: 03/10/2025
Certification Date: 03/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 MASSACHUSETTS AVE APT 54
BOSTON MA
02115-4932
US

IV. Provider business mailing address

400 MASSACHUSETTS AVE APT 54
BOSTON MA
02115-4932
US

V. Phone/Fax

Practice location:
  • Phone: 617-291-9023
  • Fax:
Mailing address:
  • Phone: 617-291-9023
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101200000X
TaxonomyDrama Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10003459
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: