Healthcare Provider Details

I. General information

NPI: 1912695578
Provider Name (Legal Business Name): SILVA PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2023
Last Update Date: 06/08/2026
Certification Date: 06/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 PROSPECT ST
MERRIMAC MA
01860-1422
US

IV. Provider business mailing address

17 PROSPECT ST
MERRIMAC MA
01860-1422
US

V. Phone/Fax

Practice location:
  • Phone: 978-609-1688
  • Fax: 508-433-1871
Mailing address:
  • Phone: 978-609-1688
  • Fax: 508-433-1871

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: JENNIFER SILVA
Title or Position: OWNER
Credential: LMHC
Phone: 978-609-1688