Healthcare Provider Details

I. General information

NPI: 1952814808
Provider Name (Legal Business Name): MISS STEVIE STEVENS GEANY
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2017
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 CHIEF JUSTICE CUSHING HWY
COHASSET MA
02025-2124
US

IV. Provider business mailing address

353 WASHINGTON ST
CANTON MA
02021-3857
US

V. Phone/Fax

Practice location:
  • Phone: 201-213-6228
  • Fax:
Mailing address:
  • Phone: 954-850-2125
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10005571
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: