Provider Demographics
NPI:1366432999
Name:TRI-TOWN COUNSELING, LLC
Entity type:Organization
Organization Name:TRI-TOWN COUNSELING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:C
Authorized Official - Last Name:MCCARTHY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LICSW
Authorized Official - Phone:508-758-3754
Mailing Address - Street 1:PO BOX 71
Mailing Address - Street 2:19 COUNTY ROAD
Mailing Address - City:MATTAPOISETT
Mailing Address - State:MA
Mailing Address - Zip Code:02739-0071
Mailing Address - Country:US
Mailing Address - Phone:508-758-3754
Mailing Address - Fax:508-758-3755
Practice Address - Street 1:19 COUNTY RD
Practice Address - Street 2:
Practice Address - City:MATTAPOISETT
Practice Address - State:MA
Practice Address - Zip Code:02739-1584
Practice Address - Country:US
Practice Address - Phone:508-758-3754
Practice Address - Fax:508-758-3755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-10-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
805731OtherTUFTS HEALTH CARE
335557OtherMAGELLAN BEHAVIORAL HEALT