Healthcare Provider Details

I. General information

NPI: 1407627094
Provider Name (Legal Business Name): LIFE INSIGHTS COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2024
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

234 LITTLETON RD STE 1B
WESTFORD MA
01886-3530
US

IV. Provider business mailing address

145 GREAT ROAD SUITE 6 #1046
ACTON MA
01720
US

V. Phone/Fax

Practice location:
  • Phone: 774-277-9695
  • Fax:
Mailing address:
  • Phone: 774-277-9695
  • Fax: 774-277-9695

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: JENNIE BOYER
Title or Position: OWNER
Credential: LMHC
Phone: 774-277-9695