Healthcare Provider Details

I. General information

NPI: 1255859807
Provider Name (Legal Business Name): CARA MARIE MILLETT LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2017
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 WASHINGTON ST
CANTON MA
02721
US

IV. Provider business mailing address

5 RANDOLPH ST DONOVAN BLDG, SECOND FLOOR
CANTON MA
02021
US

V. Phone/Fax

Practice location:
  • Phone: 781-401-9707
  • Fax:
Mailing address:
  • Phone: 781-401-9706
  • Fax: 781-401-9721

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10000374
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: