LIGHTTRACE COUNSELING LLC NPI 1679365647

NPI Information

  • NPI: 1679365647
  • Provider Name: LIGHTTRACE COUNSELING, LLC
  • Classification: Clinic/Center - 261QM0801X
  • Specialization: Mental Health (Including Community Mental Health Center)
  • Entity Type: Organization
  • Address: 50 MERIDIAN ST UNIT 456
    BOSTON, MA
    ZIP 02128
  • Phone: (508) 233-3474

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NPI Details

LIGHTTRACE COUNSELING, LLC is a mental health (including community mental health center) clinic center in Boston, MA. LIGHTTRACE COUNSELING, LLC NPI is 1679365647. The provider is registered as an organization entity type.

The provider's business location address is:

50 MERIDIAN ST UNIT 456
BOSTON, MA
ZIP 02128-020
Phone: (508) 233-3474

The provider's authorized official is Matthew J Oliver .
The authorized official title is Owner/therapist and has the following contact phone number (508) 233-3474.

The enumeration date for this NPI number is 5/19/2025 and was last updated on 6/3/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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