Healthcare Provider Details

I. General information

NPI: 1104754142
Provider Name (Legal Business Name): CARMEL PRESUME
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/11/2026
Last Update Date: 05/11/2026
Certification Date: 05/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

388 PLEASANT ST STE 203
MALDEN MA
02148-8143
US

IV. Provider business mailing address

388 PLEASANT ST STE 203
MALDEN MA
02148-8143
US

V. Phone/Fax

Practice location:
  • Phone: 781-472-4049
  • Fax: 617-977-9761
Mailing address:
  • Phone: 781-472-4049
  • Fax: 617-977-9761

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:
Title or Position:
Credential:
Phone: