Healthcare Provider Details

I. General information

NPI: 1386260206
Provider Name (Legal Business Name): EMMA KATHERINE GUZMAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2020
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 CHAUNCY ST STE 113
MANSFIELD MA
02048-1200
US

IV. Provider business mailing address

200 CHAUNCY ST STE 113
MANSFIELD MA
02048-1200
US

V. Phone/Fax

Practice location:
  • Phone: 401-307-4460
  • Fax: 401-251-7181
Mailing address:
  • Phone: 401-307-4460
  • Fax: 401-251-7181

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC01934
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10002353
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: