Healthcare Provider Details

I. General information

NPI: 1558186858
Provider Name (Legal Business Name): CATTLEYA COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2024
Last Update Date: 11/21/2024
Certification Date: 11/20/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 OLD COACH RD
ATKINSON NH
03811-2324
US

IV. Provider business mailing address

37 PLAISTOW RD UNIT 7 #139
PLAISTOW NH
03865
US

V. Phone/Fax

Practice location:
  • Phone: 617-209-9207
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: CARMEN FOTI
Title or Position: SOCIAL WORKER/THERAPIST
Credential: LICSW
Phone: 617-209-9207