Healthcare Provider Details

I. General information

NPI: 1023871068
Provider Name (Legal Business Name): ESHA KARIA MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2024
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

870 COMMONWEALTH AVE STE R
BOSTON MA
02215-1233
US

IV. Provider business mailing address

870 COMMONWEALTH AVE STE R
BOSTON MA
02215-1233
US

V. Phone/Fax

Practice location:
  • Phone: 800-736-3739
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10006972
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: