Healthcare Provider Details

I. General information

NPI: 1871424788
Provider Name (Legal Business Name): MEGHAN ANN WELSH
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/28/2026
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 RIVER ST
WALTHAM MA
02453-6037
US

IV. Provider business mailing address

PO BOX 2137
NEW CASTLE NH
03854-2137
US

V. Phone/Fax

Practice location:
  • Phone: 617-916-5069
  • Fax:
Mailing address:
  • Phone: 603-380-6246
  • 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: