Healthcare Provider Details

I. General information

NPI: 1386555878
Provider Name (Legal Business Name): SOULSHINE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 FAUNCE CORNER RD UNIT 320
N DARTMOUTH MA
02747-1276
US

IV. Provider business mailing address

16 SCONTICUT NECK RD STE 325
FAIRHAVEN MA
02719-1914
US

V. Phone/Fax

Practice location:
  • Phone: 508-978-3794
  • Fax:
Mailing address:
  • Phone: 508-978-3794
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: RACHAEL MEDEIROS
Title or Position: OWNER
Credential: LICSW
Phone: 508-978-3794