Healthcare Provider Details

I. General information

NPI: 1437060092
Provider Name (Legal Business Name): JAMES G EPPS LMHC
Entity Type: Individual
Gender:
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 HUNTINGTON RD
WORTHINGTON MA
01098-9543
US

IV. Provider business mailing address

212 HUNTINGTON RD
WORTHINGTON MA
01098-9543
US

V. Phone/Fax

Practice location:
  • Phone: 813-270-9080
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10006794
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: