Healthcare Provider Details

I. General information

NPI: 1457261547
Provider Name (Legal Business Name): EMILY WOODACRE, LMHC, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 EVERGREEN WAY
MEDFIELD MA
02052-1013
US

IV. Provider business mailing address

163 HIGHLAND AVE # 1003
NEEDHAM MA
02494-3025
US

V. Phone/Fax

Practice location:
  • Phone: 508-505-4992
  • Fax:
Mailing address:
  • Phone: 508-505-4992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State

VIII. Authorized Official

Name: MRS. EMILY WOODACRE
Title or Position: OWNER/MANAGER
Credential: MA, LMHC
Phone: 508-505-4992