| Ms Lydia Prudence Perry, LPC, LADC | |
|
1 Fort Hill Rd Ste 6, Groton, CT 06340-4799 | |
| (860) 705-9630 | |
| Not Available |
| Full Name | Ms Lydia Prudence Perry |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 1 Fort Hill Rd Ste 6, Groton, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275051724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 4323 (Connecticut) | Primary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1256 (Connecticut) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Lydia Prudence Perry, LPC, LADC 12 Water St Apt 304, Mystic, CT 06355-2534 Ph: (860) 705-9630 | Ms Lydia Prudence Perry, LPC, LADC 1 Fort Hill Rd Ste 6, Groton, CT 06340-4799 Ph: (860) 705-9630 |
Dr. Lisa Marie Tonnessen, PHD Counselor Medicare: Medicare Enrolled Practice Location: 616 Goldstar Hgwy, Shoreline Counseling, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954 | |
Michael John Formica, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Gold Star Hwy, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954 | |
Ms. Susannah Jane Forte Stahr, MS, MFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 591 Poquonnock Rd, Groton, CT 06340 Phone: 860-449-8217 Fax: 860-449-8323 | |
Dr. F. Henry Doran, D.MIN, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Gold Star Hwy, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954 | |
Ms. Jessica M Gagnon, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 428 Long Hill Rd Ste 201, Groton, CT 06340 Phone: 860-705-2840 | |
Rachel Marie Powell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 611a Long Hill Rd, Groton, CT 06340 Phone: 860-405-8097 Fax: 860-572-4986 | |
Mrs. Nancy Vail Anstrom, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 616 Goldstar Hwy, Groton, CT 06340 Phone: 860-449-0200 Fax: 860-449-1954 |