| Quail Hollow Counseling Llc | |
|
4 Merrill Ln Unit 102 Milton VT 05468-3322 | |
| (802) 559-0255 | |
| Not Available |
| Full Name | Quail Hollow Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4 Merrill Ln Unit 102, Milton, Vermont |
| Authorized Official Name and Position | Meghan Lewellen (OWNER/LICSW) |
| Authorized Official Contact | 8025590255 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Quail Hollow Counseling Llc 4 Merrill Ln Unit 102 Milton VT 05468-3322 Ph: () - | Quail Hollow Counseling Llc 4 Merrill Ln Unit 102 Milton VT 05468-3322 Ph: (802) 559-0255 |
| NPI Number | 1154871630 |
|---|---|
| Provider Enumeration Date | 10/10/2016 |
| Last Update Date | 10/10/2016 |
| Medicare PECOS PAC ID | 1557644556 |
|---|---|
| Medicare Enrollment ID | O20170217001717 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154871630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 089.0097508 (Vermont) | Primary |
| Provider Name | Meghan C Lewellen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235536400 PECOS PAC ID: 7810212792 Enrollment ID: I20150218000057 |
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