Provider Demographics
NPI:1700465564
Name:ANCHOR OF GRACE COUNSELING
Entity Type:Organization
Organization Name:ANCHOR OF GRACE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUFFY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:508-746-5039
Mailing Address - Street 1:161 SUMMER ST STE 3B
Mailing Address - Street 2:
Mailing Address - City:KINGSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02364-1275
Mailing Address - Country:US
Mailing Address - Phone:508-746-5039
Mailing Address - Fax:508-746-5031
Practice Address - Street 1:161 SUMMER ST STE 3B
Practice Address - Street 2:
Practice Address - City:KINGSTON
Practice Address - State:MA
Practice Address - Zip Code:02364-1275
Practice Address - Country:US
Practice Address - Phone:508-746-5039
Practice Address - Fax:508-746-5031
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)