| Grey Street Counseling Center Llc | |
|
504 Wolcott Rd Ste D Wolcott CT 06716-2462 | |
| (203) 441-7557 | |
| Not Available |
| Full Name | Grey Street Counseling Center Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 504 Wolcott Rd Ste D, Wolcott, Connecticut |
| Authorized Official Name and Position | Dana Wallace (OWNER) |
| Authorized Official Contact | 2034417557 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grey Street Counseling Center Llc 504 Wolcott Rd Ste D Wolcott CT 06716-2462 Ph: (203) 441-7557 | Grey Street Counseling Center Llc 504 Wolcott Rd Ste D Wolcott CT 06716-2462 Ph: (203) 441-7557 |
| NPI Number | 1215717962 |
|---|---|
| Provider Enumeration Date | 10/02/2023 |
| Last Update Date | 01/05/2024 |
| Certification Date | 01/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215717962 | NPI | - | NPPES |
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