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Contact Information

15 EAST COLLECTIVE LLC
1225 VT-15
WOLCOTT, VT05680
 Phone: 802-323-8392
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for 15 EAST COLLECTIVE LLC

NPI # 1285479162
LBN Legal business name 15 EAST COLLECTIVE LLC
Authorized official DARRIN GREENE - (PSYCHOLOGIST MASTERS LEVEL)
Entity Organization
Organization subpart 1 No
Enumeration date 07/01/2024
Last updated 11/01/2024 - More than a year ago
Identifiers n/a
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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