Elizabeth Tenney Mangan, MS
Individual provider Active NPI Mental Health Counselor · Wallingford, VT
NPI 1821601733 · NPPES record last updated Aug 29, 2020
Key facts
- NPI
- 1821601733
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 167 N Main St
Wallingford, VT 05773-9800 - Phone
- (802) 446-3577
- Fax
- (802) 446-3801
- NPI assigned
- Aug 29, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maple Leaf Clinic PC | Current |
Accepting new patients |
Locations
167 N Main St
Wallingford, VT 05773
Phone (802) 353-3537
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | VT | Yes |
Addresses
Primary practice location
167 N Main St
Wallingford, VT 05773-9800
Mailing address
167 N Main St
Wallingford, VT 05773-9800
Phone (802) 446-3577
Other providers in Wallingford, VT
- Ashleigh Marie Heath
- Blaire Hooper
- Lindsey Gail Johnston
- Michael William Kesler
- Peter Francis Lynn
- Maple Leaf Clinic PC
- Lisa Marchinkoski
- Taryn Renae Melen
- Dean JM Mooney
- Seth Joshua Peets
All providers in Wallingford, VT · Mental Health Counselor in Vermont
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 29, 2020. 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.