=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477445732
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | DARLENE DE BARROS SOUZA
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/18/2025
-----------------------------------------------------
Last Update Date | 07/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4 WATER ST
-----------------------------------------------------
City | ARLINGTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02476-4808
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 781-218-2377
-----------------------------------------------------
Fax | 781-995-0462
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 437 D ST APT 2A
-----------------------------------------------------
City | BOSTON
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02210-1983
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 805-350-1449
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------