MEDICARE: INNER LYTES COUNSELING

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1790610152
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNER LYTES COUNSELING

Provider Business Mailing Address
First Line	:	61 LOCUST ST APT 355
Second Line	:
City	:	MEDFORD
State	:	MA
Zip	:	02155-5929
Country	:	US
Telephone Number	:	857-209-4005
Fax Number	:

Provider Business Practice Location Address
First Line	:	61 LOCUST ST APT 355
Second Line	:
City	:	MEDFORD
State	:	MA
Zip	:	02155-5929
Country	:	US
Telephone Number	:	857-209-4005
Fax Number	:

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	NANCI LYTES
Credential	:	LICSW
Telephone Number	:	857-888-6478

Provider Enumeration Date	:	06/16/2026
Last Update Date	:	06/16/2026

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