Grey Street Counseling Center LLC
NPI #1215717962 in Wolcott, Connecticut
Provider Information
- NPI Number
- 1215717962
- Entity Type
- Organization
- Organization Name
- Grey Street Counseling Center LLC
- Primary Specialty
- Counselor - Professional
- Enumeration Date
- Oct 2, 2023
- Last Updated
- Jan 5, 2024
Practice Location
- Address
- 504 WOLCOTT RD STE D
- City
- Wolcott
- State
- Connecticut
- ZIP Code
- 06716-2462
- Phone
- (203) 441-7557
Authorized Official
- Name
- DANA WALLACE, LPC
- Title
- OWNER
- Phone
- (203) 441-7557
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker |
| Social Worker - Clinical — Clinical |
| Marriage & Family Therapist |
| Counselor - Professional — Professional |
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