Healthcare Provider Details

I. General information

NPI: 1558711713
Provider Name (Legal Business Name): RITA ANN VATCHER MA, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2016
Last Update Date: 01/06/2025
Certification Date: 01/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

42 WAHINGTON ST.
WELLESLEY HILLS MA
02481-0248
US

IV. Provider business mailing address

42 WASHINGTON ST
WELLESLEY HILLS MA
02481-1817
US

V. Phone/Fax

Practice location:
  • Phone: 508-341-3104
  • Fax:
Mailing address:
  • Phone: 508-341-3104
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9469
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: