Healthcare Provider Details

I. General information

NPI: 1720991433
Provider Name (Legal Business Name): AUREA HELENA SANTOS ALVES GONCALVES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18 DENTON ST APT 2
BROCKTON MA
02301-6410
US

IV. Provider business mailing address

18 DENTON ST APT 2
BROCKTON MA
02301-6410
US

V. Phone/Fax

Practice location:
  • Phone: 857-975-7778
  • Fax:
Mailing address:
  • Phone:
  • 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: