| Green Mountain Therapeutic Services, Llc | |
|
65 Portland Street Morrisville VT 05661 | |
| (802) 888-8898 | |
| (802) 888-2880 |
| Full Name | Green Mountain Therapeutic Services, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 65 Portland Street, Morrisville, Vermont |
| Authorized Official Name and Position | Scott Verzilli (OWNER) |
| Authorized Official Contact | 8028888898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Green Mountain Therapeutic Services, Llc Po Box 1592 Morrisville VT 05661-1592 Ph: (802) 888-8898 | Green Mountain Therapeutic Services, Llc 65 Portland Street Morrisville VT 05661 Ph: (802) 888-8898 |
| NPI Number | 1134243637 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134243637 | NPI | - | NPPES |
| 1011815 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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