Healthcare Provider Details

I. General information

NPI: 1992683247
Provider Name (Legal Business Name): BRITTANY CONLEY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/25/2025
Last Update Date: 08/25/2025
Certification Date: 08/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 CHAUNCY ST
BOSTON MA
02111-1726
US

IV. Provider business mailing address

687 HIGHLAND AVE
NEEDHAM MA
02494-2232
US

V. Phone/Fax

Practice location:
  • Phone: 800-455-8726
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10004839
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: