Hayden R Elmendorf, LCMHC | |
34 Barre St, Montpelier, VT 05602-3510 | |
(802) 828-3983 | |
(802) 223-0842 |
Full Name | Hayden R Elmendorf |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 34 Barre St, Montpelier, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174251342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068.0134761 (Vermont) | Primary |
Entity Name | Little Moon Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1679275499 PECOS PAC ID: 9335582527 Enrollment ID: O20240205001846 |
Mailing Address | Practice Location Address |
---|---|
Hayden R Elmendorf, LCMHC Po Box 647, Montpelier, VT 05601-0647 Ph: (802) 828-3983 | Hayden R Elmendorf, LCMHC 34 Barre St, Montpelier, VT 05602-3510 Ph: (802) 828-3983 |
Helene V Amses, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 Barre St, Montpelier, VT 05602 Phone: 802-229-8000 Fax: 802-229-8030 | |
Michele Clark, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Court St, Montpelier, VT 05602 Phone: 802-229-9608 | |
David Rapp, MS Counselor Medicare: Medicare Enrolled Practice Location: 79 Main St Ste 7, Montpelier, VT 05602 Phone: 802-989-5819 | |
Laurie L. Pontbriand, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Heaton St, Montpelier, VT 05602 Phone: 802-223-6328 Fax: 802-229-8004 | |
Jennette Difazio, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 Main St, Montpelier, VT 05602 Phone: 802-225-8355 Fax: 802-223-8105 | |
David C Spence, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 Barre Street, Montpelier, VT 05602 Phone: 802-229-8000 Fax: 802-229-8030 | |
Ms. Sharon A Stahl, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 Elm St, Montpelier, VT 05602 Phone: 802-229-6700 |