Healthcare Provider Details

I. General information

NPI: 1013979392
Provider Name (Legal Business Name): DAVID COSTA LMHC LMFT LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/04/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

106 SPRING ST STE 109
NEW BEDFORD MA
02740
US

IV. Provider business mailing address

106 SPRING ST STE 109
NEW BEDFORD MA
02747
US

V. Phone/Fax

Practice location:
  • Phone: 508-678-0041
  • Fax: 508-324-9002
Mailing address:
  • Phone: 508-996-1280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number103
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number202045
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number129
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: