Provider Demographics
NPI:1447008271
Name:THE GARDEN THERAPY SERVICES PLLC
Entity type:Organization
Organization Name:THE GARDEN THERAPY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JILLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ALLEN
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:774-473-7130
Mailing Address - Street 1:24 FIELDSTONE DR
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745-4241
Mailing Address - Country:US
Mailing Address - Phone:203-441-1434
Mailing Address - Fax:
Practice Address - Street 1:24 FIELDSTONE DR
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02745-4241
Practice Address - Country:US
Practice Address - Phone:203-441-1434
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty