Healthcare Provider Details

I. General information

NPI: 1528963899
Provider Name (Legal Business Name): SAMANTHA DELOIS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

859 WILLARD ST STE 400
QUINCY MA
02169-7469
US

IV. Provider business mailing address

859 WILLARD ST STE 400
QUINCY MA
02169-7469
US

V. Phone/Fax

Practice location:
  • Phone: 978-590-9733
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SAMANTHA DELOIS
Title or Position: OWNER
Credential: LMHC
Phone: 978-590-9733