Green Mountain Counseling Associates
Organization Active NPI Mental Health Counselor · Brattleboro, VT
NPI 1992152276 · NPPES record last updated Sep 29, 2016
Key facts
- NPI
- 1992152276
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 068.0067951 (VT)
- Legal business name
- GREEN MOUNTAIN COUNSELING ASSOCIATES
- Practice address
- 167 Main St
Suite 207-D
Brattleboro, VT 05301-7128 - Phone
- (413) 345-8745
- Fax
- (877) 532-0268
- NPI assigned
- May 17, 2016
- Organization subpart
- No
Authorized official
- Name
- Theodore E Walls, LCMHC
- Title
- Owner
- Phone
- (413) 345-8745
Practitioners 2
-
Theodore Edwin Walls, M.A., LMHC, LPC
-
Diane Carol Hicks, LICSW
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | 068.0067951 | VT | Yes |
| Clinical Social Worker |
1041C0700X | 089.0000688 | VT |
Addresses
Primary practice location
167 Main St
Suite 207-D
Brattleboro, VT 05301-7128
Mailing address
167 Main St
Suite 207-D
Brattleboro, VT 05301-7128
Phone (413) 345-8745
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All providers in Brattleboro, 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 Sep 29, 2016. 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.