Healthcare Provider Details

I. General information

NPI: 1023923646
Provider Name (Legal Business Name): MELISSA MCLAUGHLIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2026
Last Update Date: 08/18/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 MILL ST SUITE 191
PEPPERELL MA
01463
US

IV. Provider business mailing address

34 BURNSIDE ST
LOWELL MA
01851-1610
US

V. Phone/Fax

Practice location:
  • Phone: 508-318-8015
  • Fax:
Mailing address:
  • Phone: 617-784-9246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: