Healthcare Provider Details

I. General information

NPI: 1982517900
Provider Name (Legal Business Name): KAIA LEE SOUZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 SUMMER ST STE 202A
TAUNTON MA
02780-3469
US

IV. Provider business mailing address

7 BERKLEY ST
TAUNTON MA
02780-4921
US

V. Phone/Fax

Practice location:
  • Phone: 508-828-1308
  • Fax: 508-884-2476
Mailing address:
  • Phone: 781-559-4900
  • 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:
Title or Position:
Credential:
Phone: