Crotty, Carolyn

Crotty, Carolyn is an sole proprietor health care provider with primary practice located at 200 Main St Ste 14 , Burlington VT 05401-8350. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Crotty, Carolyn can be contacted via phone (781) 771-6119.

Contact Information

Primary practice address
200 Main St Ste 14 Burlington VT 05401-8350
Phone: (781) 771-6119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X 0970081292 Vermont
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8954 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068.0117129 Vermont

Profile Details

NPI number 1730555095
LBN Legal business name Crotty, Carolyn
Credentials ATR, LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 20th, 2015
Last updated Apr 24th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730555095 NPPES
Vermont MEDICAID 1029432

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