Ms. Beth B Avery, LCSW
Counselor, Professional in Mystic, Connecticut
1285658229- Practice location
- 5 School St, Mystic, CT 06355-2717
- Phone
- 860-572-0667
- Fax
- 860-572-0667
- Last updated
- July 8, 2007
Beth B Avery is a Counselor, Professional based in Mystic, CT. Beth B Avery practices in Mystic, CT and has the professional credentials of LCSW. The NPI Number for Beth B Avery is 1285658229 and holds a License No. 004996 (CT). The current practice location address for Beth B Avery is 5 School St, Mystic, CT 06355-2717 and can be reached out via phone at 860-572-0667 and via fax at 860-572-0667.
Provider Profile Details
- NPI Number
- 1285658229
- Provider Name
- Beth B Avery
- Credential
- LCSW
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 5 School St, Mystic, CT 06355-2717
- Phone Number
- 860-572-0667
- Fax Number
- 860-572-0667
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- July 26, 2006
- Last Update Date
- July 8, 2007
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 5 School St
Mystic, CT 06355-2717 - City
- Mystic
- State
- Connecticut
- Zip
- 06355-2717
- Phone Number
- 860-572-0667
- Fax Number
- 860-572-0667
Provider Business Mailing Address Details
- Address
- Po Box 253
Old Mystic, CT 06372-0253 - City
- Old Mystic
- State
- CT
- Zip
- 06372-0253
- Phone Number
- 860-572-0667
- Fax Number
- 860-572-0667
License Information
- License Number
- 004996
- License State
- CT
- Taxonomy
- Counselor, Professional · 101YP2500X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Ms. Beth B Avery, LCSW?
The NPI number of Ms. Beth B Avery, LCSW is 1285658229. It was assigned on July 26, 2006 and is currently active in the NPPES registry.
What is the specialty of Ms. Beth B Avery, LCSW?
Ms. Beth B Avery, LCSW is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in CT under license number 004996.
Where does Ms. Beth B Avery, LCSW practice?
The practice location is 5 School St, Mystic, CT 06355-2717. The office can be reached at 860-572-0667 (phone) or 860-572-0667 (fax).
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 1285658229 directly on the NPPES registry website.