| Praxis Behavioral Health | |
|
125 College St Burlington VT 05401-8444 | |
| (802) 316-8288 | |
| Not Available |
| Full Name | Praxis Behavioral Health |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 125 College St, Burlington, Vermont |
| Authorized Official Name and Position | Cyrus Patten (OWNER) |
| Authorized Official Contact | 8024974864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Praxis Behavioral Health 12 Pearl St Essex Junction VT 05452-3604 Ph: () - | Praxis Behavioral Health 125 College St Burlington VT 05401-8444 Ph: (802) 316-8288 |
| NPI Number | 1437511094 |
|---|---|
| Provider Enumeration Date | 03/23/2016 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437511094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089.0095340 (Vermont) | Secondary |
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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