Healthcare Provider Details

I. General information

NPI: 1912669961
Provider Name (Legal Business Name): SGM THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/07/2021
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CORTLAND DR
SHARON MA
02067-3315
US

IV. Provider business mailing address

8 CORTLAND DR
SHARON MA
02067-3315
US

V. Phone/Fax

Practice location:
  • Phone: 978-540-5965
  • Fax:
Mailing address:
  • Phone: 978-540-5965
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: STEPHANIE GOULD
Title or Position: SOCIAL WORKER
Credential: LICSW MPH
Phone: 978-540-5965