Brenda Tighe, | |
181 Crawford Road, Derby, VT 05829-0000 | |
(802) 334-6744 | |
(802) 334-7340 |
Full Name | Brenda Tighe |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 181 Crawford Road, Derby, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861804833 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 0680073876 (Vermont) | Primary |
Entity Name | Northeast Kingdom Human Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043372709 PECOS PAC ID: 0941276703 Enrollment ID: O20041012001355 |
Mailing Address | Practice Location Address |
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Brenda Tighe, Po Box 724, Newport, VT 05855-0724 Ph: (802) 334-6744 | Brenda Tighe, 181 Crawford Road, Derby, VT 05829-0000 Ph: (802) 334-6744 |
Tony J Graveline, LADC Counselor Medicare: Medicare Enrolled Practice Location: 181 Crawford Road, Derby, VT 05829 Phone: 802-334-6744 | |
Mr. Chad Christopher Patten, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3957 Vt Route 105, Derby, VT 05829 Phone: 802-673-2881 | |
Ashley Sevigny, Counselor Medicare: Not Enrolled in Medicare Practice Location: 181 Cawford Road, Derby, VT 05829 Phone: 802-334-6744 Fax: 802-334-7340 | |
Jessica R Judd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Stagecoach Ln, Derby, VT 05829 Phone: 802-274-8723 | |
Kristen Elizabeth Watson, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4095 Gore Rd, Derby, VT 05829 Phone: 802-895-4166 | |
Aaron Billings, Counselor Medicare: Medicare Enrolled Practice Location: 181 Crawford Road, Derby, VT 05829 Phone: 802-334-6744 | |
Deborah Sue Bianchi, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3212 Us Route 5, Derby, VT 05829 Phone: 802-323-4677 Fax: 802-766-2620 |