=====================================================
General NPI Number Information
=====================================================
NPI Number | 1386593986
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TIMOLEON GROUP LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/26/2026
-----------------------------------------------------
Last Update Date | 01/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 109 RHODE ISLAND RD STE D
-----------------------------------------------------
City | LAKEVILLE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02347-1370
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-606-3360
-----------------------------------------------------
Fax | 888-649-8828
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 109 RHODE ISLAND RD STE D
-----------------------------------------------------
City | LAKEVILLE
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02347-1370
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 774-606-3360
-----------------------------------------------------
Fax | 888-649-8828
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | YULIA TIMOLEON
-----------------------------------------------------
Credential | LMHC
-----------------------------------------------------
Telephone | 774-606-3360
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------