Organization
THREE GRACES, LLP
Active
Other names
Avia Counseling Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOUISA LYNN FOSS PHD, NCC (PARTNER)
(860) 267-2687
Entity
Organization
Contact information
Practice address
251 MAIN ST STE 100, OLD SAYBROOK, CT 06475-2357
(860) 661-1133
(860) 469-2966
Mailing address
251 MAIN ST STE 100, OLD SAYBROOK, CT 06475-2357
(860) 661-1133
(860) 469-2966
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275464
—
CT
Enumeration date
03/07/2012
Last updated
02/20/2020
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