Individual provider · Type 1 NPI

Jaimee Wyatt Hanly

Counselor · Needham, MA

NPI number 1922990191 Active

Practice location

160 Gould St Ste 300
Needham, MA 02494-2300

Mailing address

12175 Main Rd
Mattituck, NY 11952-1570

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1922990191

Jaimee Wyatt Hanly's National Provider Identifier is 1922990191, issued on Jul 21, 2025. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Needham, MA. The record was last updated on Jul 21, 2025.