Healthcare Provider Details

I. General information

NPI: 1902731508
Provider Name (Legal Business Name): LISTENING HEART MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

99 DERBY ST STE 200
HINGHAM MA
02043-4216
US

IV. Provider business mailing address

99 DERBY ST STE 200
HINGHAM MA
02043-4216
US

V. Phone/Fax

Practice location:
  • Phone: 774-274-3375
  • Fax: 508-445-6044
Mailing address:
  • Phone: 774-274-3375
  • Fax: 508-445-6044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MAGENECKA ST-HUBERT
Title or Position: OWNER
Credential: APRN
Phone: 774-274-3375