| Heartful Roots, Pllc | |
|
278 Vance Rd Danville VT 05828-9465 | |
| (802) 222-0885 | |
| Not Available |
| Full Name | Heartful Roots, Pllc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 278 Vance Rd, Danville, Vermont |
| Authorized Official Name and Position | Jessica Gershwin (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 8022220885 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heartful Roots, Pllc 278 Vance Rd Danville VT 05828-9465 Ph: (720) 220-7525 | Heartful Roots, Pllc 278 Vance Rd Danville VT 05828-9465 Ph: (802) 222-0885 |
| NPI Number | 1932781234 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 04/26/2021 |
| Certification Date | 04/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932781234 | NPI | - | NPPES |
| 6703410 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Spectrum Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 71 Hill St, Danville, VT 05828 Phone: 603-728-9574 |