Healthcare Provider Details

I. General information

NPI: 1548956105
Provider Name (Legal Business Name): EMMA BLANCHARD LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/14/2023
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

340 MAPLE ST STE 400
MARLBOROUGH MA
01752-3200
US

IV. Provider business mailing address

340 MAPLE ST STE 400
MARLBOROUGH MA
01752-3200
US

V. Phone/Fax

Practice location:
  • Phone: 508-573-5148
  • Fax: 508-485-6904
Mailing address:
  • Phone: 508-485-9300
  • Fax: 508-485-6904

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLMHC10005618
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: