Healthcare Provider Details

I. General information

NPI: 1265342380
Provider Name (Legal Business Name): ANNE MARIE CHRISTINE MAYO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNIE MAYO

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 UNION ST
LAWRENCE MA
01840-1866
US

IV. Provider business mailing address

15 UNION ST STE 215
LAWRENCE MA
01840-1929
US

V. Phone/Fax

Practice location:
  • Phone: 978-682-7289
  • Fax:
Mailing address:
  • Phone: 781-559-4900
  • Fax: 781-559-4901

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: