Marjorie Ann Trombly, LCMHC | |
49 School Street, Hartford, VT 05047-0709 | |
(802) 295-3031 | |
(802) 295-0820 |
Full Name | Marjorie Ann Trombly |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 49 School Street, Hartford, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124351945 | NPI | - | NPPES |
1016831 | Medicaid | VT | |
989026C | Other | VT | MVP HEALTHCARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 068-0057650 (Vermont) | Secondary |
101YM0800X | Counselor - Mental Health | 068.0057650 (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 |
---|---|
Marjorie Ann Trombly, LCMHC 390 River Street, Springfield, VT 05156-2226 Ph: (802) 886-4500 | Marjorie Ann Trombly, LCMHC 49 School Street, Hartford, VT 05047-0709 Ph: (802) 295-3031 |
Dr. Elizabeth B. Kooperkamp, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 49 School St., Hcrs, Hartford, VT 05047 Phone: 802-295-3031 | |
Rachel Gray, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 49 School Street, Hartford, VT 05047 Phone: 802-295-3031 Fax: 802-295-0820 | |
Mrs. Claire M. Stai, M.S. ED.S. LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 49 School Street, Hartford, VT 05047 Phone: 802-295-3031 Fax: 802-295-0820 | |
Michelle R. Caver, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 49 School Street, Hartford, VT 05047 Phone: 802-295-3031 Fax: 802-295-0820 | |
Ms. Katherine M Duhamel, MA LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 49 School Street, Hartford, VT 05047 Phone: 802-295-3031 Fax: 802-886-4520 | |
Tori Meder, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 49 School Street, Hartford, VT 05047 Phone: 802-295-3031 Fax: 802-295-0820 |