Healthcare Provider Details

I. General information

NPI: 1639036528
Provider Name (Legal Business Name): EVERFLOW COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41 HIGHLAND ST
SALEM MA
01970
US

IV. Provider business mailing address

230 INDEPENDENCE WAY STE 1 PMB 1121
DANVERS MA
01923-3692
US

V. Phone/Fax

Practice location:
  • Phone: 978-594-2480
  • Fax:
Mailing address:
  • Phone: 978-594-2480
  • 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: ELSY ESTELLA QUINTERO
Title or Position: MANAGER
Credential: LMHC
Phone: 978-594-2480