| Open Heart Counseling Plc | |
|
160 River St Unit 103 Milton VT 05468-3662 | |
| (802) 310-7091 | |
| Not Available |
| Full Name | Open Heart Counseling Plc |
|---|---|
| Speciality | Social Worker |
| Location | 160 River St Unit 103, Milton, Vermont |
| Authorized Official Name and Position | Julia Kimball (SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 8023107091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Heart Counseling Plc 160 River St Unit 103 Milton VT 05468-3662 Ph: (802) 310-7091 | Open Heart Counseling Plc 160 River St Unit 103 Milton VT 05468-3662 Ph: (802) 310-7091 |
| NPI Number | 1104314269 |
|---|---|
| Provider Enumeration Date | 04/24/2018 |
| Last Update Date | 04/24/2018 |
| Medicare PECOS PAC ID | 6901161470 |
|---|---|
| Medicare Enrollment ID | O20180604002170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104314269 | NPI | - | NPPES |
| 1027825 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089.0084650 (Vermont) | Primary |
| Provider Name | Julia F Kimball |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831542075 PECOS PAC ID: 8820385172 Enrollment ID: I20160929002058 |
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