Vanessa Lane Counseling Llc | |
160 Wall St Springfield VT 05156-3528 | |
(802) 291-0356 | |
(802) 885-1600 |
Full Name | Vanessa Lane Counseling Llc |
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Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 160 Wall St, Springfield, Vermont |
Authorized Official Name and Position | Vanessa Ann Lane (MEMBER) |
Authorized Official Contact | 8022910356 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vanessa Lane Counseling Llc Po Box 624 Springfield VT 05156-0624 Ph: (802) 291-0356 | Vanessa Lane Counseling Llc 160 Wall St Springfield VT 05156-3528 Ph: (802) 291-0356 |
NPI Number | 1700472016 |
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Provider Enumeration Date | 12/21/2020 |
Last Update Date | 12/21/2020 |
Certification Date | 12/21/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700472016 | NPI | - | NPPES |
1033859 | Medicaid | VT |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
Counter Balance Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 56 Main St Ste 212, Springfield, VT 05156 Phone: 802-692-0697 | |
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