Healthcare Provider Details

I. General information

NPI: 1538084298
Provider Name (Legal Business Name): ANGELA H HAWTHORNE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

184 W MAIN ST STE 202
NORTON MA
02766-1243
US

IV. Provider business mailing address

5 POUT ROCK RD
NORTH EASTON MA
02356-1771
US

V. Phone/Fax

Practice location:
  • Phone: 508-622-5033
  • Fax:
Mailing address:
  • Phone: 508-565-8670
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: