Healthcare Provider Details

I. General information

NPI: 1851103857
Provider Name (Legal Business Name): LOVELY LIFE COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/25/2025
Last Update Date: 01/25/2025
Certification Date: 01/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

167 GEORGETOWN RD
BOXFORD MA
01921-1607
US

IV. Provider business mailing address

167 GEORGETOWN RD
BOXFORD MA
01921-1607
US

V. Phone/Fax

Practice location:
  • Phone: 508-265-3504
  • Fax:
Mailing address:
  • Phone: 508-265-3504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: JESSIE BEATON
Title or Position: OWNER
Credential: LMHC
Phone: 508-265-3504