Healthcare Provider Details

I. General information

NPI: 1629915483
Provider Name (Legal Business Name): HARBOR LIGHT THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 WASHINGTON ST STE 403
HANOVER MA
02339-2473
US

IV. Provider business mailing address

720 WASHINGTON ST STE 403
HANOVER MA
02339-2473
US

V. Phone/Fax

Practice location:
  • Phone: 857-258-9844
  • Fax: 781-243-3815
Mailing address:
  • Phone: 857-258-9844
  • Fax: 781-243-3815

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: YELENA ZELIKMAN
Title or Position: OWNER
Credential: LMHC
Phone: 857-258-9844