Individual provider · Type 1 NPI

Eleonora Rose Costa

Mental Health Counselor · Gloucester, MA

NPI number 1689189458 Active · reactivated Feb 18, 2026

Practice location

3 Lowe Dr
Gloucester, MA 01930-5236

Call (978) 979-8104 Map

Mailing address

2 Carrie Ln
Gloucester, MA 01930-2328

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLMHC10005524 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1689189458

Eleonora Rose Costa's National Provider Identifier is 1689189458, issued on Dec 2, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Gloucester, MA. The record was last updated on Apr 20, 2026.