Healthcare Provider Details

I. General information

NPI: 1477253276
Provider Name (Legal Business Name): NATASHA R SERRANO LMHC, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2023
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

150 GROSSMAN DR
BRAINTREE MA
02184-4962
US

IV. Provider business mailing address

150 GROSSMAN DR STE 205 UNIT 4
BRAINTREE MA
02184
US

V. Phone/Fax

Practice location:
  • Phone: 781-512-9707
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10006196
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: