Provider Demographics
NPI:1578596714
Name:GARLINGTON, ERNEST (PHD)
Entity Type:Individual
Prefix:DR
First Name:ERNEST
Middle Name:
Last Name:GARLINGTON
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 597
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:CT
Mailing Address - Zip Code:06444-0597
Mailing Address - Country:US
Mailing Address - Phone:860-621-0187
Mailing Address - Fax:
Practice Address - Street 1:111 OLD MTN ROAD
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:CT
Practice Address - Zip Code:06444
Practice Address - Country:US
Practice Address - Phone:860-621-0187
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001206101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional