Healthcare Provider Details

I. General information

NPI: 1255249751
Provider Name (Legal Business Name): OFF SCRIPT THERAPY STUDIOS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2026
Last Update Date: 08/28/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17 AMY WAY
CONCORD NH
03303-1045
US

IV. Provider business mailing address

17 AMY WAY
CONCORD NH
03303-1045
US

V. Phone/Fax

Practice location:
  • Phone: 502-889-1878
  • Fax:
Mailing address:
  • Phone: 502-889-1878
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. MARC ROSS CORTINO
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: LICSW
Phone: 502-889-1878