Soulshine Integrative Wellness, Llc | |
1788 Gibou Rd Montgomery Center VT 05471-2032 | |
(802) 327-3720 | |
Not Available |
Full Name | Soulshine Integrative Wellness, Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 1788 Gibou Rd, Montgomery Center, Vermont |
Authorized Official Name and Position | Amie Koontz (CLINICAL MENTAL HEALTH COUNSELOR) |
Authorized Official Contact | 8023273720 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Soulshine Integrative Wellness, Llc 1788 Gibou Rd Montgomery Center VT 05471-2032 Ph: (802) 327-3720 | Soulshine Integrative Wellness, Llc 1788 Gibou Rd Montgomery Center VT 05471-2032 Ph: (802) 327-3720 |
NPI Number | 1760229512 |
---|---|
Provider Enumeration Date | 07/10/2024 |
Last Update Date | 07/10/2024 |
Certification Date | 07/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760229512 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |