Healthcare Provider Details

I. General information

NPI: 1699603860
Provider Name (Legal Business Name): MARIA LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/09/2026
Last Update Date: 05/09/2026
Certification Date: 05/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 BEACONSFIELD RD
BROOKLINE MA
02445-3322
US

IV. Provider business mailing address

120 BEACONSFIELD RD
BROOKLINE MA
02445-3322
US

V. Phone/Fax

Practice location:
  • Phone: 617-340-9513
  • 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: DR. MARIA CABANE
Title or Position: OWNER
Credential: PSY.D., LMHC, CMPC
Phone: 617-340-9513