GREY STREET COUNSELING CENTER LLC
NPI 1215717962
Counselor - Professional in Wolcott, CT

Active since October 02, 2023
504 WOLCOTT RD STE D, WOLCOTT, CT 06716(203) 441-7557 Get Directions Write a Review

NPPES record last updated: January 5, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 5, 2024, Oct 2, 2023 (2 updates tracked since 2023).

About Grey Street Counseling Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GREY STREET COUNSELING CENTER LLC (NPI 1215717962) is a healthcare organization registered as a professional in Wolcott, Connecticut and active in the NPI registry since October 2023. The organization lists Dana Wallace, Owner, as its authorized official.

NPPES Registry Identity

NPI1215717962
Entity TypeOrganization
Primary Taxonomy101YP2500X
Legal Business NameGREY STREET COUNSELING CENTER LLC
Location Address504 WOLCOTT RD STE DWolcott, CT 06716-2462
Mailing Address504 Wolcott Rd Ste DWolcott, CT 06716-2462 · (203) 441-7557
Organization SubpartNo
Authorized OfficialDana WallaceOwner · (203) 441-7557
Enumeration DateOctober 2, 2023
Last NPPES UpdateJanuary 5, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 5, 2024
NPI 1215717962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
Also ListedSocial WorkerTaxonomy 104100000X
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
504 WOLCOTT RD STE D, Wolcott, CT 06716

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
504 WOLCOTT RD STE D
WOLCOTT, CT 06716

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grey Street Counseling Center LLC's NPI number?

The NPI number for Grey Street Counseling Center LLC is 1215717962. It was assigned to this organization in the NPPES registry on October 2, 2023.

Where is Grey Street Counseling Center LLC located?

Grey Street Counseling Center LLC is located at 504 Wolcott Rd Ste D, Wolcott, CT 06716. The listed phone number is (203) 441-7557.

What is Grey Street Counseling Center LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Grey Street Counseling Center LLC was last updated on January 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.