Healthcare Provider Details

I. General information

NPI: 1205799087
Provider Name (Legal Business Name): TWO LANTERNS THERAPY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 WHITTIER PL STE 108
BOSTON MA
02114-1408
US

IV. Provider business mailing address

7 WHITTIER PL STE 108
BOSTON MA
02114-1408
US

V. Phone/Fax

Practice location:
  • Phone: 781-710-8834
  • 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

VIII. Authorized Official

Name: MOIRA MACDONALD
Title or Position: OWNER
Credential:
Phone: 781-710-8834