Healthcare Provider Details

I. General information

NPI: 1508757444
Provider Name (Legal Business Name): WOVEN COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2025
Last Update Date: 07/10/2025
Certification Date: 07/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 FUNN POND RD
SOUTH DENNIS MA
02660-1906
US

IV. Provider business mailing address

13 FUNN POND RD
SOUTH DENNIS MA
02660-1906
US

V. Phone/Fax

Practice location:
  • Phone: 508-470-1374
  • Fax:
Mailing address:
  • Phone: 508-470-1374
  • 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: HEATHER TALLMON
Title or Position: OWNER
Credential: LMHC
Phone: 508-470-1374