| Redeeming Stories | |
|
205 Billings Farm Rd Ste 2d White River Junction VT 05001-5401 | |
| (802) 356-1731 | |
| Not Available |
| Full Name | Redeeming Stories |
|---|---|
| Speciality | Counselor |
| Location | 205 Billings Farm Rd Ste 2d, White River Junction, Vermont |
| Authorized Official Name and Position | Phil Prothero (PRESIDENT) |
| Authorized Official Contact | 8023561731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Redeeming Stories Po Box 1132 White River Junction VT 05001-1132 Ph: (802) 356-1731 | Redeeming Stories 205 Billings Farm Rd Ste 2d White River Junction VT 05001-5401 Ph: (802) 356-1731 |
| NPI Number | 1710425343 |
|---|---|
| Provider Enumeration Date | 02/02/2017 |
| Last Update Date | 10/13/2020 |
| Certification Date | 10/13/2020 |
| Medicare PECOS PAC ID | 9234575762 |
|---|---|
| Medicare Enrollment ID | O20240307000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710425343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LH00011059 (Washington) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Phil G Prothero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932279890 PECOS PAC ID: 3870939309 Enrollment ID: I20240307000336 |
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