Healthcare Provider Details

I. General information

NPI: 1275461741
Provider Name (Legal Business Name): ALICE GHISLAINE MUSABE MHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1094 WORCESTER RD
FRAMINGHAM MA
01702-5255
US

IV. Provider business mailing address

25 MONTFERN AVE
BRIGHTON MA
02135-2514
US

V. Phone/Fax

Practice location:
  • Phone: 508-628-6300
  • Fax:
Mailing address:
  • Phone: 860-834-4124
  • 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:
Title or Position:
Credential:
Phone: