| Hope And Resilience Therapy, Llc | |
|
12 River St Unit 103 Milton VT 05468-3628 | |
| (802) 752-5976 | |
| Not Available |
| Full Name | Hope And Resilience Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 12 River St Unit 103, Milton, Vermont |
| Authorized Official Name and Position | Shaina Lussier (LICSW) |
| Authorized Official Contact | 8027525976 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hope And Resilience Therapy, Llc Po Box 461 Milton VT 05468-0461 Ph: (802) 752-5976 | Hope And Resilience Therapy, Llc 12 River St Unit 103 Milton VT 05468-3628 Ph: (802) 752-5976 |
| NPI Number | 1871110940 |
|---|---|
| Provider Enumeration Date | 07/06/2020 |
| Last Update Date | 09/16/2020 |
| Certification Date | 09/16/2020 |
| Medicare PECOS PAC ID | 0143632398 |
|---|---|
| Medicare Enrollment ID | O20201214000643 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871110940 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Shaina M Lussier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669948279 PECOS PAC ID: 3072866250 Enrollment ID: I20181106000996 |
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