Healthcare Provider Details

I. General information

NPI: 1225961626
Provider Name (Legal Business Name): PSYCHOTHERAPY WITH EMMA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

34 MARK CIR
HOLDEN MA
01520-1410
US

IV. Provider business mailing address

34 MARK CIR
HOLDEN MA
01520-1410
US

V. Phone/Fax

Practice location:
  • Phone: 617-302-6414
  • Fax: 774-600-0052
Mailing address:
  • Phone: 508-340-3465
  • 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: MS. EMMA LEIGH DAUPHINAIS
Title or Position: OWNER/PSYCHOTHERAPIST
Credential: LMHC
Phone: 617-302-6414