Counseling Service Of Addison County

LBN: Counseling Service Of Addison County
Counseling Service Of Addison County is an health care organization with primary practice located at 89 Main St , Middlebury VT 05753-1459. The organization recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as the primary health care specialty. Counseling Service Of Addison County can be contacted via phone (802) 388-6751, or through Jimerson, Robert via phone (802) 388-6751.

Contact Information

Primary practice address
89 Main St Middlebury VT 05753-1459
Phone: (802) 388-6751
Fax: (802) 388-8183
Website:
Map and Directions
Authorized official contact:
Name: Jimerson, Robert Doctor of Medicine (MD)
Phone: (802) 388-6751

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1730218868
LBN Legal business name Counseling Service Of Addison County
DBA Doing business as
Authorized official Jimerson, Robert Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 5th, 2007
Last updated Oct 18th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730218868 NPPES
Vermont MEDICAID 6040011

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