| Black Bear Counseling Services | |
|
42 Summer St Ste 3 Barre VT 05641-3726 | |
| (802) 505-9151 | |
| (802) 448-2729 |
| Full Name | Black Bear Counseling Services |
|---|---|
| Speciality | Counselor |
| Location | 42 Summer St Ste 3, Barre, Vermont |
| Authorized Official Name and Position | Taisiya Tess Thomas (THERAPIST/OWNER) |
| Authorized Official Contact | 8025059151 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Bear Counseling Services Po Box 1103 Barre VT 05641-1103 Ph: (802) 505-9151 | Black Bear Counseling Services 42 Summer St Ste 3 Barre VT 05641-3726 Ph: (802) 505-9151 |
| NPI Number | 1366212383 |
|---|---|
| Provider Enumeration Date | 01/02/2024 |
| Last Update Date | 07/24/2024 |
| Certification Date | 07/24/2024 |
| Medicare PECOS PAC ID | 0244677862 |
|---|---|
| Medicare Enrollment ID | O20240319001361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366212383 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Taisiya Tess Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942593124 PECOS PAC ID: 1153768775 Enrollment ID: I20240426001180 |
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