Grace M Thomas Lpc Llc | |
1129 Essex Pl Stratford CT 06615-5867 | |
(203) 216-1716 | |
Not Available |
Full Name | Grace M Thomas Lpc Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 1129 Essex Pl, Stratford, Connecticut |
Authorized Official Name and Position | Grace M Thomas (CLINICIAN/OWNER) |
Authorized Official Contact | 2032161716 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Grace M Thomas Lpc Llc 19 Lincoln St Trumbull CT 06611-4610 Ph: (203) 216-1716 | Grace M Thomas Lpc Llc 1129 Essex Pl Stratford CT 06615-5867 Ph: (203) 216-1716 |
NPI Number | 1548738362 |
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Provider Enumeration Date | 11/09/2018 |
Last Update Date | 11/09/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548738362 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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