Healthcare Provider Details

I. General information

NPI: 1265704787
Provider Name (Legal Business Name): RONDA DENISE TOBEY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/30/2012
Last Update Date: 07/26/2026
Certification Date: 07/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2077 CENTRE STREET
WEST ROXBURY MA
02132
US

IV. Provider business mailing address

2077 CENTRE ST
WEST ROXBURY MA
02132-3313
US

V. Phone/Fax

Practice location:
  • Phone: 857-203-9680
  • Fax: 857-203-9653
Mailing address:
  • Phone: 857-203-9680
  • Fax: 857-203-9653

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC00978
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: