Individual provider · Type 1 NPI

Lisa Macgillivray

Mental Health Counselor · South Boston, MA

NPI number 1407736036 Active

Practice location

210 Old Colony Ave
South Boston, MA 02127-2413

Call (617) 268-5000 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1407736036

Lisa Macgillivray's National Provider Identifier is 1407736036, issued on Sep 4, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in South Boston, MA. The record was last updated on Jul 2, 2026.