=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508757444
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | WOVEN COUNSELING SERVICES
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/10/2025
-----------------------------------------------------
Last Update Date | 07/10/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13 FUNN POND RD
-----------------------------------------------------
City | SOUTH DENNIS
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02660-1906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-470-1374
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13 FUNN POND RD
-----------------------------------------------------
City | SOUTH DENNIS
-----------------------------------------------------
State | MA
-----------------------------------------------------
Zip | 02660-1906
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 508-470-1374
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | HEATHER TALLMON
-----------------------------------------------------
Credential | LMHC
-----------------------------------------------------
Telephone | 508-470-1374
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------