Healthcare Provider Details

I. General information

NPI: 1124984091
Provider Name (Legal Business Name): TUZCU PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 01/05/2026
Certification Date: 01/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 HAWTHORNE PL
BOSTON MA
02114-2344
US

IV. Provider business mailing address

9 HAWTHORNE PL
BOSTON MA
02114-2344
US

V. Phone/Fax

Practice location:
  • Phone: 617-678-6055
  • Fax:
Mailing address:
  • Phone: 617-678-6055
  • 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: MS. DAMLA TUZCU
Title or Position: PRACTICE OWNER, LMHC THERAPIST
Credential: LMHC
Phone: 617-678-6055