| Village Couseling Associates | |
|
1222 Putney Rd Brattleboro VT 05301-9000 | |
| (802) 662-1655 | |
| Not Available |
| Full Name | Village Couseling Associates |
|---|---|
| Speciality | Social Worker |
| Location | 1222 Putney Rd, Brattleboro, Vermont |
| Authorized Official Name and Position | Killy Bascom (OWNER) |
| Authorized Official Contact | 8026621655 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Village Couseling Associates Po Box 8473 Brattleboro VT 05304-8473 Ph: (802) 662-1655 | Village Couseling Associates 1222 Putney Rd Brattleboro VT 05301-9000 Ph: (802) 662-1655 |
| NPI Number | 1316323223 |
|---|---|
| Provider Enumeration Date | 08/03/2015 |
| Last Update Date | 11/04/2024 |
| Certification Date | 11/04/2024 |
| Medicare PECOS PAC ID | 1456659812 |
|---|---|
| Medicare Enrollment ID | O20160419000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316323223 | NPI | - | NPPES |
| 1021358 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0890087148 (Vermont) | Primary |
| Provider Name | Killy Bascom |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366687006 PECOS PAC ID: 0143469171 Enrollment ID: I20130622000093 |
Innerwell Integrative Counseling Services L3c Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 262 Western Ave, Brattleboro, VT 05301 Phone: 802-231-2550 | |
Lisa Kate Lcmhc Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 11 Cottage St, Brattleboro, VT 05301 Phone: 717-706-4826 | |
Moon River Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 Homestead Pl, Brattleboro, VT 05301 Phone: 401-489-6463 | |
Springfield Hospital Psychiatry Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 38 Park Pl, Brattleboro, VT 05301 Phone: 802-857-2442 | |
Riggs Neuropsychology Associates, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Marlboro Rd, Suite 11, Brattleboro, VT 05301 Phone: 802-275-8224 | |
Richard Doucet Licsw Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 36 Park Pl Ste 101, Brattleboro, VT 05301 Phone: 802-246-1221 Fax: 802-246-1002 | |
Crescent Psychotherapy, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 136b Prospect St, Brattleboro, VT 05301 Phone: 207-560-6033 |