Healthcare Provider Details
I. General information
NPI: 1326929019
Provider Name (Legal Business Name): MISTERHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2025
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
198 TREMONT ST STE 424
BOSTON MA
02116-4705
US
IV. Provider business mailing address
198 TREMONT ST STE 424
BOSTON MA
02116-4705
US
V. Phone/Fax
- Phone: 203-910-4904
- Fax:
- Phone: 203-910-4904
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHAEL
STOKES
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: LMHC
Phone: 203-910-4904