MEDICARE: TC THERAPY & CONSULTING GROUP LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

General Provider Information

NPI Number	:	1346179397
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TC THERAPY & CONSULTING GROUP LLC

Provider Business Mailing Address
First Line	:	99 CHURCH ST
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-1624
Country	:	US
Telephone Number	:	617-580-2668
Fax Number	:

Provider Business Practice Location Address
First Line	:	99 CHURCH ST
Second Line	:
City	:	NORTH ATTLEBORO
State	:	MA
Zip	:	02760-1624
Country	:	US
Telephone Number	:	617-580-2668
Fax Number	:

Authorized Official
Title or Position	:	OWNER & CLINICAL DIRECTOR
Name	:	GERTRUDE CARL
Credential	:	LICSW
Telephone Number	:	617-580-2668

Provider Enumeration Date	:	05/15/2026
Last Update Date	:	05/15/2026

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