Healthcare Provider Details

I. General information

NPI: 1538274139
Provider Name (Legal Business Name): DENISE VALLEQUETTE O'MEARA LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 08/30/2026
Certification Date: 08/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

238 WAREHAM RD
MARION MA
02738-1166
US

IV. Provider business mailing address

13 SPRINGWOOD DR
ROCHESTER MA
02770-2106
US

V. Phone/Fax

Practice location:
  • Phone: 508-965-2584
  • Fax: 508-763-9607
Mailing address:
  • Phone: 508-763-9607
  • Fax: 508-763-9607

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number3724
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: