Healthcare Provider Details

I. General information

NPI: 1265716179
Provider Name (Legal Business Name): MAUREEN LYNN GOUVEIA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/11/2011
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 COUNTRY CLUB RD
GILFORD NH
03249-6972
US

IV. Provider business mailing address

45 TWIST HILL RD
DUNBARTON NH
03046-4324
US

V. Phone/Fax

Practice location:
  • Phone: 603-520-6190
  • Fax:
Mailing address:
  • Phone: 603-520-6190
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateRI
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDP00737
License Number StateRI
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHC01117
License Number StateRI
# 4
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number8070
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: