Healthcare Provider Details

I. General information

NPI: 1689500076
Provider Name (Legal Business Name): ISAIRA JUSTINA ALMONTE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 LYNNWAY STE 201
LYNN MA
01901-1713
US

IV. Provider business mailing address

330 LYNNWAY STE 201
LYNN MA
01901-1713
US

V. Phone/Fax

Practice location:
  • Phone: 339-200-9491
  • Fax:
Mailing address:
  • Phone: 339-200-9491
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberS51650398
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: