Provider Demographics
NPI:1831423920
Name:HARRINGTON, GRACE (LPC)
Entity type:Individual
Prefix:
First Name:GRACE
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:GRACE
Other - Middle Name:
Other - Last Name:FIOCCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:675 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:CT
Mailing Address - Zip Code:06457-2632
Mailing Address - Country:US
Mailing Address - Phone:860-347-6971
Mailing Address - Fax:860-704-8034
Practice Address - Street 1:675 MAIN ST
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:CT
Practice Address - Zip Code:06457-2632
Practice Address - Country:US
Practice Address - Phone:860-347-6971
Practice Address - Fax:860-704-8034
Is Sole Proprietor?:No
Enumeration Date:2009-09-23
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT2513101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004235918Medicaid