Healthcare Provider Details

I. General information

NPI: 1134079874
Provider Name (Legal Business Name): RESONANCE COLLECTIVE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/02/2026
Last Update Date: 02/02/2026
Certification Date: 02/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98 WHITFORD ST
BOSTON MA
02131-4231
US

IV. Provider business mailing address

98 WHITFORD ST
BOSTON MA
02131-4231
US

V. Phone/Fax

Practice location:
  • Phone: 617-831-5584
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NICOLE FREDERICK
Title or Position: CO-OWNER
Credential: LMHC
Phone: 617-831-5584