Healthcare Provider Details

I. General information

NPI: 1396424065
Provider Name (Legal Business Name): EMPATHECARY COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/11/2023
Last Update Date: 07/11/2023
Certification Date: 07/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16A AUSTIN ST APT 3
SOMERVILLE MA
02145-2244
US

IV. Provider business mailing address

PO BOX 6296
CHELSEA MA
02150-0011
US

V. Phone/Fax

Practice location:
  • Phone: 424-234-0379
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: AMBER MOY
Title or Position: THERAPIST
Credential: LICSW
Phone: 424-234-0379