| Uplift Counseling And Emdr, Plc | |
|
133 Blakely Rd Ste 208 Colchester VT 05446-3984 | |
| (802) 391-0750 | |
| (802) 428-5954 |
| Full Name | Uplift Counseling And Emdr, Plc |
|---|---|
| Speciality | Social Worker |
| Location | 133 Blakely Rd Ste 208, Colchester, Vermont |
| Authorized Official Name and Position | Ellen Williams (OWNER) |
| Authorized Official Contact | 8023910750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uplift Counseling And Emdr, Plc 133 Blakely Rd Ste 208 Colchester VT 05446-3984 Ph: (802) 391-0750 | Uplift Counseling And Emdr, Plc 133 Blakely Rd Ste 208 Colchester VT 05446-3984 Ph: (802) 391-0750 |
| NPI Number | 1023661279 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 07/13/2020 |
| Certification Date | 07/13/2020 |
| Medicare PECOS PAC ID | 0143556977 |
|---|---|
| Medicare Enrollment ID | O20190731001916 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023661279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Ellen K Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578856704 PECOS PAC ID: 4183842370 Enrollment ID: I20140829002074 |
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