Organization
THREE GRACES, LLP
Active
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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