Healthcare Provider Details

I. General information

NPI: 1487595708
Provider Name (Legal Business Name): HEART AND HOME MENTAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 WOODLAND ST
HOLLISTON MA
01746-1826
US

IV. Provider business mailing address

360 WOODLAND ST
HOLLISTON MA
01746-1826
US

V. Phone/Fax

Practice location:
  • Phone: 781-997-7008
  • Fax:
Mailing address:
  • Phone: 781-997-7008
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DANIEL COYNE
Title or Position: OWNER OPERATOR
Credential: PMHNP-BC
Phone: 781-997-7008