Provider Demographics
NPI:1477445732
Name:DE BARROS SOUZA, DARLENE
Entity type:Individual
Prefix:
First Name:DARLENE
Middle Name:
Last Name:DE BARROS SOUZA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:437 D ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02210-1983
Mailing Address - Country:US
Mailing Address - Phone:805-350-1449
Mailing Address - Fax:
Practice Address - Street 1:4 WATER ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-4808
Practice Address - Country:US
Practice Address - Phone:781-218-2377
Practice Address - Fax:781-995-0462
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-18
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty