Taconic Integrative Psychiatric Services, Pllc

LBN: Taconic Integrative Psychiatric Services, Pllc
Taconic Integrative Psychiatric Services, Pllc is an health care organization with primary practice located at 4384 Main Street , Manchester VT 05254. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as the primary health care specialty. Taconic Integrative Psychiatric Services, Pllc can be contacted via phone (802) 768-9136, or through Pruett, Adam via phone (802) 774-8358.

Contact Information

Primary practice address
4384 Main Street Manchester VT 05254
Phone: (802) 768-9136
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Pruett, Adam
Phone: (802) 774-8358

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X

Profile Details

NPI number 1881227452
LBN Legal business name Taconic Integrative Psychiatric Services, Pllc
DBA Doing business as
Authorized official Pruett, Adam
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2020
Last updated Apr 27th, 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.

Request for update

Popular Providers