Healthcare Provider Details
I. General information
NPI: 1548181829
Provider Name (Legal Business Name): THERAPY WITH MASHA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/23/2026
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1180 BEACON ST STE 4B
BROOKLINE MA
02446-3806
US
IV. Provider business mailing address
1180 BEACON ST STE 4B
BROOKLINE MA
02446-3806
US
V. Phone/Fax
- Phone: 617-895-7846
- Fax: 617-608-0618
- Phone: 617-895-7846
- Fax: 617-608-0618
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
MASHA
M
TAUB
Title or Position: PRESIDENT
Credential: LICSW
Phone: 617-895-7846