MEDICARE: PSYCHOTHERAPY WITH EMMA, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1225961626
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PSYCHOTHERAPY WITH EMMA, LLC

Provider Business Mailing Address
First Line	:	34 MARK CIR
Second Line	:
City	:	HOLDEN
State	:	MA
Zip	:	01520-1410
Country	:	US
Telephone Number	:	508-340-3465
Fax Number	:

Provider Business Practice Location Address
First Line	:	34 MARK CIR
Second Line	:
City	:	HOLDEN
State	:	MA
Zip	:	01520-1410
Country	:	US
Telephone Number	:	617-302-6414
Fax Number	:	774-600-0052

Authorized Official
Title or Position	:	OWNER/PSYCHOTHERAPIST
Name	:	MS. EMMA LEIGH DAUPHINAIS
Credential	:	LMHC
Telephone Number	:	617-302-6414

Provider Enumeration Date	:	06/05/2026
Last Update Date	:	06/05/2026

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