Healthcare Provider Details

I. General information

NPI: 1992634299
Provider Name (Legal Business Name): AMICUS COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2026
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

779 WASHINGTON ST STE 3C
CANTON MA
02021-3022
US

IV. Provider business mailing address

779 WASHINGTON ST STE 3C
CANTON MA
02021-3022
US

V. Phone/Fax

Practice location:
  • Phone: 781-205-0603
  • Fax:
Mailing address:
  • Phone: 781-205-0603
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: JESSIE HARPER
Title or Position: MEMBER
Credential: LMHC
Phone: 781-205-0603