| Breanna Hart Therapy | |
|
1225 Vt-15 Wolcott VT 05680 | |
| (802) 760-8191 | |
| Not Available |
| Full Name | Breanna Hart Therapy |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1225 Vt-15, Wolcott, Vermont |
| Authorized Official Name and Position | Breanna L Hart (PSYCHOTHERAPIST) |
| Authorized Official Contact | 8027608191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Breanna Hart Therapy 139 Cross Rd Wolcott VT 05680-4560 Ph: (802) 760-8191 | Breanna Hart Therapy 1225 Vt-15 Wolcott VT 05680 Ph: (802) 760-8191 |
| NPI Number | 1588483523 |
|---|---|
| Provider Enumeration Date | 10/07/2024 |
| Last Update Date | 10/07/2024 |
| Certification Date | 10/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588483523 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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