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NPI Code Detail

MEDICARE: TRUTH AND GRACE COUNSELING, LLC

MEDICARE: TRUTH AND GRACE COUNSELING, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker008324CT

General Provider Information

NPI Number : 1427475151
Entity Type Code : Organization
Provider Name (Legal Business Name) : TRUTH AND GRACE COUNSELING, LLC
Provider Business Mailing Address
First Line : 199 MONTEMERLO AVE
Second Line :
City : WINDSOR LOCKS
State : CT
Zip : 06096-2727
Country : US
Telephone Number : 860-995-8330
Fax Number :
Provider Business Practice Location Address
First Line : 8 MAIN ST
Second Line :
City : WINDSOR LOCKS
State : CT
Zip : 06096-2307
Country : US
Telephone Number : 860-995-8330
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. DEVON FORBES
Credential : LCSW
Telephone Number : 860-995-8330
Provider Enumeration Date : 03/19/2014
Last Update Date : 03/19/2014

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Directions to “TRUTH AND GRACE COUNSELING, LLC ” Practice Location

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