Gloria Leyla Fanning Tacoaman is a Wilmington, Massachusetts based counselor who is specialized as Mental Health Counselor. Active license number of Gloria Leyla Fanning Tacoaman is LABA10000079 for Behavioral Analyst in Massachusetts. Her current practice location is 60 Concord St Ste 1, Wilmington. Patients can book an appointment with her at 781-694-8787.
Gloria Leyla Fanning Tacoaman is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. She assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Gloria Leyla Fanning Tacoaman speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Gloria Leyla Fanning Tacoaman
Specialization:
Mental Health Counselor
Gender:
Female
Accepts Medicare Assignment:
No
Practice Address:
60 Concord St Ste 1, Wilmington, Massachusetts, 01887-2179
Phone:
781-694-8787
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1053921114
NPI Enumeration Date:
04 Aug, 2020
NPI Last Update On:
09 May, 2023
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Gloria Leyla Fanning Tacoaman are as mentioned below.
License Number
Specialization
State
Status
LABA10000079
Behavioral Analyst
Massachusetts
Primary
Mental Health Counselor
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Gloria Leyla Fanning Tacoaman such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
110026265E
Medicaid
Massachusetts
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
41 Pacella Park Dr, Randolph, Massachusetts
Zip:
02368-1755
Phone Number:
781-437-0791
Patients can reach Gloria Leyla Fanning Tacoaman at 60 Concord St Ste 1, Wilmington, Massachusetts or can call to book an appointment on 781-694-8787. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 July, 2025.