| Pegasus Counseling, Llc | |
|
516 Mill Rd #3a White River Junction VT 05001-9589 | |
| (802) 356-1478 | |
| Not Available |
| Full Name | Pegasus Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 516 Mill Rd, White River Junction, Vermont |
| Authorized Official Name and Position | Courtney Bohen (OWNER) |
| Authorized Official Contact | 8023561478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pegasus Counseling, Llc Po Box 736 Woodstock VT 05091-0736 Ph: (802) 356-1478 | Pegasus Counseling, Llc 516 Mill Rd #3a White River Junction VT 05001-9589 Ph: (802) 356-1478 |
| NPI Number | 1750747762 |
|---|---|
| Provider Enumeration Date | 01/06/2016 |
| Last Update Date | 01/06/2016 |
| Medicare PECOS PAC ID | 8123325172 |
|---|---|
| Medicare Enrollment ID | O20160318001061 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750747762 | NPI | - | NPPES |
| 1017577 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0890056470 (Vermont) | Primary |
| Provider Name | Courtney Bohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689997686 PECOS PAC ID: 8628267994 Enrollment ID: I20110118001216 |
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Gretchen Van Winkle Licsw Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 46 Barrister Dr Unit D, White River Junction, VT 05001 Phone: 603-276-9863 | |
Kim Estes Msw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2458 Christian St, White River Junction, VT 05001 Phone: 603-359-5084 | |
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Julia Healy, Msw, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2458 Christian St Ste 2200, White River Junction, VT 05001 Phone: 802-356-9393 |