Healthcare Provider Details

I. General information

NPI: 1548180706
Provider Name (Legal Business Name): ZHENZE LI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 HANCOCK ST STE 306
QUINCY MA
02169-5244
US

IV. Provider business mailing address

165 LENOX ST UNIT 446
NORWOOD MA
02062-3376
US

V. Phone/Fax

Practice location:
  • Phone: 617-404-3621
  • Fax: 617-203-6155
Mailing address:
  • Phone: 857-320-9350
  • 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: