Provider Demographics
NPI:1598576969
Name:HIGHER SELF THERAPY
Entity type:Organization
Organization Name:HIGHER SELF THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHALANDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUPERRIER
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-465-3020
Mailing Address - Street 1:800 LEXINGTON ST # 1017
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02452-4848
Mailing Address - Country:US
Mailing Address - Phone:617-465-3020
Mailing Address - Fax:
Practice Address - Street 1:10 LANGLEY RD STE 200
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02459-1972
Practice Address - Country:US
Practice Address - Phone:617-465-3020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-15
Last Update Date:2025-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health