| Stories Llc | |
|
20 W Canal St Ste C2 Winooski VT 05404-2146 | |
| (802) 448-4185 | |
| Not Available |
| Full Name | Stories Llc |
|---|---|
| Speciality | Social Worker |
| Location | 20 W Canal St Ste C2, Winooski, Vermont |
| Authorized Official Name and Position | Tara Graham (OWNER) |
| Authorized Official Contact | 8028813244 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stories Llc 5 Pleasant Ave Burlington VT 05408-2409 Ph: (802) 881-3244 | Stories Llc 20 W Canal St Ste C2 Winooski VT 05404-2146 Ph: (802) 448-4185 |
| NPI Number | 1871261909 |
|---|---|
| Provider Enumeration Date | 09/02/2021 |
| Last Update Date | 09/02/2021 |
| Certification Date | 09/02/2021 |
| Medicare PECOS PAC ID | 2062819089 |
|---|---|
| Medicare Enrollment ID | O20210917001622 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871261909 | NPI | - | NPPES |
| 1548478035 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Tara Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548478035 PECOS PAC ID: 5799182713 Enrollment ID: I20210917001762 |
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