Provider Demographics
NPI:1891531398
Name:AGAINST THE GRAIN COUNSELING SERVICES LLC
Entity type:Organization
Organization Name:AGAINST THE GRAIN COUNSELING SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRIMARY CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:ALEXANDRA
Authorized Official - Last Name:RAFTIS
Authorized Official - Suffix:
Authorized Official - Credentials:LADC
Authorized Official - Phone:860-882-8536
Mailing Address - Street 1:72 WEBSTER ST
Mailing Address - Street 2:
Mailing Address - City:UNIONVILLE
Mailing Address - State:CT
Mailing Address - Zip Code:06085-1056
Mailing Address - Country:US
Mailing Address - Phone:860-882-8536
Mailing Address - Fax:
Practice Address - Street 1:72 WEBSTER ST
Practice Address - Street 2:
Practice Address - City:UNIONVILLE
Practice Address - State:CT
Practice Address - Zip Code:06085-1056
Practice Address - Country:US
Practice Address - Phone:860-882-8536
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health