Provider Demographics
NPI:1629967229
Name:HOURIHAN, MOLLI
Entity type:Individual
Prefix:
First Name:MOLLI
Middle Name:
Last Name:HOURIHAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MOLLI
Other - Middle Name:
Other - Last Name:HAMERMESH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:645 WARNER HILL RD
Mailing Address - Street 2:
Mailing Address - City:SOUTHPORT
Mailing Address - State:CT
Mailing Address - Zip Code:06890-3040
Mailing Address - Country:US
Mailing Address - Phone:203-610-2344
Mailing Address - Fax:
Practice Address - Street 1:111 EDGARTOWN RD
Practice Address - Street 2:
Practice Address - City:OAK BLUFFS
Practice Address - State:MA
Practice Address - Zip Code:02557
Practice Address - Country:US
Practice Address - Phone:508-648-8113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-30
Last Update Date:2025-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health