Ms Gail Carol Middlebrook, MA LCMHC LADC | |
103 School Street, Suite D, Barton, VT 05822 | |
(802) 525-4529 | |
Not Available |
Full Name | Ms Gail Carol Middlebrook |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 103 School Street, Barton, Vermont |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952479123 | NPI | - | NPPES |
1007167 | Medicaid | VT | |
39320 | Other | VT | BCBSVT |
1050902 | Other | VT | CIGNA BEHAVIORAL HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | 000164 (Vermont) | Primary |
101YM0800X | Counselor - Mental Health | 0000408 (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 |
---|---|
Ms Gail Carol Middlebrook, MA LCMHC LADC Po Box 156, Barton, VT 05822-0156 Ph: (802) 525-4529 | Ms Gail Carol Middlebrook, MA LCMHC LADC 103 School Street, Suite D, Barton, VT 05822 Ph: (802) 525-4529 |
Virgil John Kovachich Ii, MA,LADC,LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 103 School Street, Suite D, Barton, VT 05822 Phone: 802-525-4529 | |
Lisa M Higgins, M.ED, NCC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 Elm St, Barton, VT 05822 Phone: 802-673-9758 | |
Katy Kuchta, MASTERS Counselor Medicare: Not Enrolled in Medicare Practice Location: 227 Kittredge Rd, Barton, VT 05822 Phone: 802-535-4422 |