Provider Demographics
NPI:1881191609
Name:ANCHOR COUNSELING LLC.
Entity Type:Organization
Organization Name:ANCHOR COUNSELING LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:DOUGLAS
Authorized Official - Last Name:GINTY
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, LADC
Authorized Official - Phone:860-661-5397
Mailing Address - Street 1:134 BOSTON POST RD OFC 2
Mailing Address - Street 2:
Mailing Address - City:OLD SAYBROOK
Mailing Address - State:CT
Mailing Address - Zip Code:06475-1557
Mailing Address - Country:US
Mailing Address - Phone:860-661-5397
Mailing Address - Fax:860-339-5010
Practice Address - Street 1:134 BOSTON POST RD OFC 2
Practice Address - Street 2:
Practice Address - City:OLD SAYBROOK
Practice Address - State:CT
Practice Address - Zip Code:06475-1557
Practice Address - Country:US
Practice Address - Phone:860-661-5397
Practice Address - Fax:860-339-5010
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-09
Last Update Date:2020-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty