Kearsarge Valley Counseling, PLLC
Organization Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Wilmot, NH
NPI 1740052307 · NPPES record last updated Jan 12, 2024
Key facts
- NPI
- 1740052307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Legal business name
- KEARSARGE VALLEY COUNSELING, PLLC
- Practice address
- 136 Stone Bridge Rd
Wilmot, NH 03287-4626 - Phone
- (802) 230-7760
- NPI assigned
- Oct 26, 2023
- Organization subpart
- No
Authorized official
- Name
- Douglas Wenger, LICSW
- Title
- Owner/Provider
- Phone
- (802) 230-7760
Practitioners 1
-
Douglas Wenger, LICSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes | ||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X |
Addresses
Primary practice location
136 Stone Bridge Rd
Wilmot, NH 03287-4626
Mailing address
PO Box 12
Wilmot, NH 03287-0012
Phone (802) 230-7760
Other practice location 1
276 Newport Rd Ste 204
New London, NH 03257-5469
Phone (802) 230-7760
Other practice location 2
633 Maple St Ste 2
Hopkinton, NH 03229-3377
Phone (802) 230-7760
Other providers in Wilmot, NH
All providers in Wilmot, NH · Mental Health Clinic/Center (Including Community Mental Health Center) in New Hampshire
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 12, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.