Provider Demographics
NPI:1316507676
Name:AMARAL, NICOLE GENEVIEVE (LMFT)
Entity type:Individual
Prefix:MRS
First Name:NICOLE
Middle Name:GENEVIEVE
Last Name:AMARAL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:NICOLE
Other - Middle Name:GENEVIEVE
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:500 GROSSMAN DR # 1223
Mailing Address - Street 2:
Mailing Address - City:BRAINTREE
Mailing Address - State:MA
Mailing Address - Zip Code:02184-4967
Mailing Address - Country:US
Mailing Address - Phone:781-817-3044
Mailing Address - Fax:781-486-3011
Practice Address - Street 1:500 GROSSMAN DR # 1223
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-4967
Practice Address - Country:US
Practice Address - Phone:781-817-3044
Practice Address - Fax:781-486-3011
Is Sole Proprietor?:No
Enumeration Date:2019-06-19
Last Update Date:2025-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2024-0596106H00000X
MA1886106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist