Grey Street Counseling Center LLC
Counselor, Professional in Wolcott, Connecticut
1215717962- Practice location
- 504 Wolcott RD Ste D, Wolcott, CT 06716-2462
- Phone
- 203-441-7557
- Fax
- —
- Last updated
- January 5, 2024
Grey Street Counseling Center LLC is a healthcare organization based in Wolcott, CT. Grey Street Counseling Center LLC practices in Wolcott, CT. The NPI Number for Grey Street Counseling Center LLC is 1215717962. The current practice location address for Grey Street Counseling Center LLC is 504 Wolcott RD Ste D, Wolcott, CT 06716-2462 and can be reached out via phone at 203-441-7557.
Provider Profile Details
- NPI Number
- 1215717962
- Provider Name
- Grey Street Counseling Center LLC
- Provider Entity Type
- Organization
- Address
- 504 Wolcott RD Ste D, Wolcott, CT 06716-2462
- Phone Number
- 203-441-7557
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Organization Subpart
- No
- Authorized Official
- Dana Wallace, LPC · Owner · 203-441-7557
- Provider Enumeration Date
- October 2, 2023
- Last Update Date
- January 5, 2024
- Certification Date
- January 5, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 504 Wolcott RD Ste D
Wolcott, CT 06716-2462 - City
- Wolcott
- State
- Connecticut
- Zip
- 06716-2462
- Phone Number
- 203-441-7557
Provider Business Mailing Address Details
- Address
- 504 Wolcott RD Ste D
Wolcott, CT 06716-2462 - City
- Wolcott
- State
- CT
- Zip
- 06716-2462
- Phone Number
- 203-441-7557
License Information
- Taxonomy (1)
- Social Worker · 104100000X
- Taxonomy (2)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (3)
- Marriage & Family Therapist · 106H00000X
- Taxonomy (4)
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Professional providers near Wolcott, CT
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Frequently Asked Questions
What is the NPI number of Grey Street Counseling Center LLC?
The NPI number of Grey Street Counseling Center LLC is 1215717962. It was assigned on October 2, 2023 and is currently active in the NPPES registry.
What is the specialty of Grey Street Counseling Center LLC?
Grey Street Counseling Center LLC is registered under the primary taxonomy Counselor, Professional (code 101YP2500X).
Where does Grey Street Counseling Center LLC practice?
The practice location is 504 Wolcott RD Ste D, Wolcott, CT 06716-2462. The office can be reached at 203-441-7557 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215717962 directly on the NPPES registry website.