| Green Mountain Psychotherapy Pc | |
|
1233 Shelburne Rd Ste 460a South Burlington VT 05403-7780 | |
| (802) 391-9137 | |
| Not Available |
| Full Name | Green Mountain Psychotherapy Pc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1233 Shelburne Rd Ste 460a, South Burlington, Vermont |
| Authorized Official Name and Position | Morgan Flagg (OWNER) |
| Authorized Official Contact | 2032165641 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Mountain Psychotherapy Pc 223 Mt Philo Rd North Ferrisburgh VT 05473-4015 Ph: (203) 216-5641 | Green Mountain Psychotherapy Pc 1233 Shelburne Rd Ste 460a South Burlington VT 05403-7780 Ph: (802) 391-9137 |
| NPI Number | 1104522911 |
|---|---|
| Provider Enumeration Date | 02/02/2023 |
| Last Update Date | 02/02/2023 |
| Certification Date | 02/02/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104522911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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