| Shoreline Counseling Group,llc | |
|
616 Gold Star Hwy Groton CT 06340-6221 | |
| (860) 449-0200 | |
| (860) 449-1954 |
| Full Name | Shoreline Counseling Group,llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 616 Gold Star Hwy, Groton, Connecticut |
| Authorized Official Name and Position | Bassam Awwa (OWNER) |
| Authorized Official Contact | 8604490200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Counseling Group,llc 616 Gold Star Hwy Groton CT 06340-6221 Ph: (860) 449-0200 | Shoreline Counseling Group,llc 616 Gold Star Hwy Groton CT 06340-6221 Ph: (860) 449-0200 |
| NPI Number | 1598997421 |
|---|---|
| Provider Enumeration Date | 08/11/2009 |
| Last Update Date | 06/04/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598997421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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