Healthcare Provider Details

I. General information

NPI: 1609125079
Provider Name (Legal Business Name): TALITHA ANNE LUTES LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2012
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 FORBUSH AVE
QUINCY MA
02169-3918
US

IV. Provider business mailing address

10 FORBUSH AVE
QUINCY MA
02169-3918
US

V. Phone/Fax

Practice location:
  • Phone: 480-862-2340
  • Fax:
Mailing address:
  • Phone: 480-862-2340
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9575
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: