Healthcare Provider Details

I. General information

NPI: 1083340285
Provider Name (Legal Business Name): PALEY BURLIN MA, LMHC, LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/29/2022
Last Update Date: 12/13/2025
Certification Date: 12/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MOSS RD
WINDHAM ME
04062-3315
US

IV. Provider business mailing address

7 MOSS RD
WINDHAM ME
04062-3315
US

V. Phone/Fax

Practice location:
  • Phone: 510-394-2544
  • Fax:
Mailing address:
  • Phone: 510-394-2544
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC7450
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61499324
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: