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Contact Information

COUNSELING SERVICE OF ADDISON COUNTY
89 MAIN ST
MIDDLEBURY, VT05753-1459
 Phone: 802-388-6751
 Fax: 802-388-8183
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental Disabilities

261QD1600X
Indicates primary specialty

NPI Profile & details for COUNSELING SERVICE OF ADDISON COUNTY

NPI # 1730218868
LBN Legal business name COUNSELING SERVICE OF ADDISON COUNTY
Authorized official ROBERT JIMERSON - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/05/2007
Last updated 10/18/2011 - About 15 years ago
Identifiers
VT Medicaid 6040011
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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