Provider Demographics
NPI:1811553332
Name:GARLAND, CAROLYN MICHELL
Entity Type:Individual
Prefix:
First Name:CAROLYN
Middle Name:MICHELL
Last Name:GARLAND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 S 6TH ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-5907
Mailing Address - Country:US
Mailing Address - Phone:774-202-4820
Mailing Address - Fax:774-202-0825
Practice Address - Street 1:33 S 6TH ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-5907
Practice Address - Country:US
Practice Address - Phone:774-202-4820
Practice Address - Fax:774-202-0825
Is Sole Proprietor?:No
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)