Healthcare Provider Details

I. General information

NPI: 1881191609
Provider Name (Legal Business Name): ANCHOR COUNSELING LLC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/09/2018
Last Update Date: 07/24/2020
Certification Date: 07/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

134 BOSTON POST RD OFC 2
OLD SAYBROOK CT
06475-1557
US

IV. Provider business mailing address

134 BOSTON POST RD OFC 2
OLD SAYBROOK CT
06475-1557
US

V. Phone/Fax

Practice location:
  • Phone: 860-661-5397
  • Fax: 860-339-5010
Mailing address:
  • Phone: 860-661-5397
  • Fax: 860-339-5010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: MR. RICHARD DOUGLAS GINTY
Title or Position: OWNER/THERAPIST
Credential: LCSW, LADC
Phone: 860-661-5397