Whetstone Counseling, Llc | |
14 Park Pl 2nd Floor Brattleboro VT 05301-2821 | |
(802) 246-1470 | |
(802) 246-1470 |
Full Name | Whetstone Counseling, Llc |
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Speciality | Clinic/Center |
Location | 14 Park Pl, Brattleboro, Vermont |
Authorized Official Name and Position | Roberta L. Paley (OWNER) |
Authorized Official Contact | 8022461470 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Whetstone Counseling, Llc 14 Park Pl 2nd Floor Brattleboro VT 05301-2821 Ph: (802) 246-1470 | Whetstone Counseling, Llc 14 Park Pl 2nd Floor Brattleboro VT 05301-2821 Ph: (802) 246-1470 |
NPI Number | 1215398730 |
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Provider Enumeration Date | 03/10/2016 |
Last Update Date | 03/10/2016 |
Medicare PECOS PAC ID | 5991002701 |
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Medicare Enrollment ID | O20160322001929 |
Identifier | Type | State | Issuer |
---|---|---|---|
1215398730 | NPI | - | NPPES |
1024481 | Medicaid | VT | |
1619992989 | Other | MY INDIVIDUAL NPI NUMBER | |
11301426 | Other | CAQH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 089.0088361 (Vermont) | Primary |
Provider Name | Roberta L Paley |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1619992989 PECOS PAC ID: 2365427390 Enrollment ID: I20160322002167 |
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