| Counter Balance | |
|
56 Main St Ste 212 Springfield VT 05156-2945 | |
| (802) 692-0697 | |
| Not Available |
| Full Name | Counter Balance |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 56 Main St Ste 212, Springfield, Vermont |
| Authorized Official Name and Position | Vincent Buckholz (OWNER) |
| Authorized Official Contact | 8026920697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Counter Balance 56 Main St Ste 212 Springfield VT 05156-2945 Ph: (802) 692-0697 | Counter Balance 56 Main St Ste 212 Springfield VT 05156-2945 Ph: (802) 692-0697 |
| NPI Number | 1003315177 |
|---|---|
| Provider Enumeration Date | 02/05/2018 |
| Last Update Date | 02/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003315177 | NPI | - | NPPES |
| 1030150 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 0890114807 (Vermont) | Primary |
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