Healthcare Provider Details

I. General information

NPI: 1538076351
Provider Name (Legal Business Name): EMILY BURNS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

173 MOUNT AUBURN ST OFC 13
WATERTOWN MA
02472-4005
US

IV. Provider business mailing address

173 MOUNT AUBURN ST OFC 13
WATERTOWN MA
02472-4005
US

V. Phone/Fax

Practice location:
  • Phone: 508-841-5406
  • Fax:
Mailing address:
  • Phone:
  • 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: EMILY BURNS
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential:
Phone: 508-841-5406