Healthcare Provider Details

I. General information

NPI: 1528995784
Provider Name (Legal Business Name): CHRISTIAN AURELIO BALDINO LMHC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

98N N WASHINGTON STREET B5
BOSTON MA
02114
US

IV. Provider business mailing address

98N N WASHINGTON STREET B5
BOSTON MA
02114
US

V. Phone/Fax

Practice location:
  • Phone: 617-546-1950
  • Fax:
Mailing address:
  • Phone: 617-546-1950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10002774
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: