Healthcare Provider Details

I. General information

NPI: 1154917821
Provider Name (Legal Business Name): AIMEE ROSNER LMHC, ATR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2020
Last Update Date: 07/28/2025
Certification Date: 07/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 PAGE ST
STOUGHTON MA
02072-1172
US

IV. Provider business mailing address

331 PAGE ST
STOUGHTON MA
02072-1172
US

V. Phone/Fax

Practice location:
  • Phone: 508-521-9647
  • Fax: 617-249-0492
Mailing address:
  • Phone: 508-521-9647
  • Fax: 617-249-0492

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number12024
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code221700000X
TaxonomyArt Therapist
License Number12024
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: