Healthcare Provider Details

I. General information

NPI: 1154998664
Provider Name (Legal Business Name): CTG COUNSELING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2021
Last Update Date: 06/04/2021
Certification Date: 06/04/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1871 ACUSHNET AVE
NEW BEDFORD MA
02746
US

IV. Provider business mailing address

16 SCONTICUT NECK RD STE 289
FAIRHAVEN MA
02719-1914
US

V. Phone/Fax

Practice location:
  • Phone: 508-496-8598
  • Fax: 774-206-1462
Mailing address:
  • Phone: 508-496-8598
  • Fax: 774-206-1462

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER THOMAS GARRIGA
Title or Position: OWNER LEAD THERAPIST
Credential: LMHC
Phone: 774-203-9471