Healthcare Provider Details

I. General information

NPI: 1538320585
Provider Name (Legal Business Name): CANELA N. HOFFMAN MHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2008
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

874 BEACON ST
BOSTON MA
02215-3101
US

IV. Provider business mailing address

874 BEACON ST
BOSTON MA
02215-3101
US

V. Phone/Fax

Practice location:
  • Phone: 617-299-6516
  • Fax:
Mailing address:
  • Phone: 617-299-6516
  • 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:
Title or Position:
Credential:
Phone: