| Trillium Healthworks, Llc | |
|
7 Main St Ste 302 Montpelier VT 05602-2870 | |
| (802) 673-7741 | |
| Not Available |
| Full Name | Trillium Healthworks, Llc |
|---|---|
| Speciality | Counselor |
| Location | 7 Main St Ste 302, Montpelier, Vermont |
| Authorized Official Name and Position | Merin Perretta (MANAGER) |
| Authorized Official Contact | 8026737741 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trillium Healthworks, Llc 370 Sherwood Dr Montpelier VT 05602-8113 Ph: (802) 673-7741 | Trillium Healthworks, Llc 7 Main St Ste 302 Montpelier VT 05602-2870 Ph: (802) 673-7741 |
| NPI Number | 1528820321 |
|---|---|
| Provider Enumeration Date | 01/26/2024 |
| Last Update Date | 02/01/2024 |
| Certification Date | 02/01/2024 |
| Medicare PECOS PAC ID | 0345686010 |
|---|---|
| Medicare Enrollment ID | O20240316000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528820321 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Merin Perretta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1902502966 PECOS PAC ID: 1254777923 Enrollment ID: I20240316000033 |
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