Avia Counseling Center | |
251 Main St Ste 100 Old Saybrook CT 06475-2357 | |
(860) 661-1133 | |
(860) 469-2966 |
Full Name | Avia Counseling Center |
---|---|
Speciality | Community/behavioral Health |
Location | 251 Main St Ste 100, Old Saybrook, Connecticut |
Authorized Official Name and Position | Louisa Lynn Foss (PARTNER) |
Authorized Official Contact | 8602672687 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Avia Counseling Center 251 Main St Ste 100 Old Saybrook CT 06475-2357 Ph: (860) 661-1133 | Avia Counseling Center 251 Main St Ste 100 Old Saybrook CT 06475-2357 Ph: (860) 661-1133 |
NPI Number | 1184998296 |
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Provider Enumeration Date | 03/07/2012 |
Last Update Date | 02/20/2020 |
Certification Date | 02/20/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1184998296 | NPI | - | NPPES |
275464 | Medicaid | CT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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