| Talaia Thomas, Lcmhc, Llc | |
|
4 S Main St Hardwick VT 05843-7070 | |
| (802) 279-8575 | |
| Not Available |
| Full Name | Talaia Thomas, Lcmhc, Llc |
|---|---|
| Speciality | Counselor |
| Location | 4 S Main St, Hardwick, Vermont |
| Authorized Official Name and Position | Talaia M Thomas (PROVIDER-OWNER) |
| Authorized Official Contact | 8022798575 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Talaia Thomas, Lcmhc, Llc Po Box 315 Hardwick VT 05843-0315 Ph: (802) 279-8575 | Talaia Thomas, Lcmhc, Llc 4 S Main St Hardwick VT 05843-7070 Ph: (802) 279-8575 |
| NPI Number | 1275396756 |
|---|---|
| Provider Enumeration Date | 02/06/2024 |
| Last Update Date | 02/06/2024 |
| Certification Date | 02/06/2024 |
| Medicare PECOS PAC ID | 1658724844 |
|---|---|
| Medicare Enrollment ID | O20240124000912 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275396756 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Talaia M. Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588807044 PECOS PAC ID: 9537504022 Enrollment ID: I20240223001786 |
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