Provider Demographics
NPI:1104622349
Name:COVERED BRIDGE COUNSELING LLC
Entity type:Organization
Organization Name:COVERED BRIDGE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:MARIO
Authorized Official - Last Name:CATALDO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:978-732-3657
Mailing Address - Street 1:19 HASKELL RD
Mailing Address - Street 2:
Mailing Address - City:PEPPERELL
Mailing Address - State:MA
Mailing Address - Zip Code:01463-1309
Mailing Address - Country:US
Mailing Address - Phone:978-732-3657
Mailing Address - Fax:
Practice Address - Street 1:19 HASKELL RD
Practice Address - Street 2:
Practice Address - City:PEPPERELL
Practice Address - State:MA
Practice Address - Zip Code:01463-1309
Practice Address - Country:US
Practice Address - Phone:978-732-3657
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-19
Last Update Date:2025-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty