Green Mountain Behavioral Medicine Llc

LBN: Green Mountain Behavioral Medicine Llc
Green Mountain Behavioral Medicine Llc is an health care organization with primary practice located at 125 Saint Paul St Ste 103 , Burlington VT 05401-8686. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Green Mountain Behavioral Medicine Llc can be contacted via phone (802) 216-0727, or through Schupp-Star, Joshua via phone (802) 230-1353.

Contact Information

Primary practice address
125 Saint Paul St Ste 103 Burlington VT 05401-8686
Fax: (802) 633-0956
Website:
Authorized official contact:
Name: Schupp-Star, Joshua Physician Assistant (PA)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1992481568
LBN Legal business name Green Mountain Behavioral Medicine Llc
DBA Doing business as
Authorized official Schupp-Star, Joshua Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 27th, 2023
Last updated Oct 4th, 2023 - about 3 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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