Walls, Theodore Edwin

Walls, Theodore Edwin is an sole proprietor health care provider with primary practice located at 54 Harris Pl Ste 105 , Brattleboro VT 05301-6709. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Walls, Theodore Edwin can be contacted via phone (802) 451-0314.

Contact Information

Primary practice address
54 Harris Pl Ste 105 Brattleboro VT 05301-6709
Phone: (802) 451-0314
Fax: (877) 532-0268
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8227 Massachusetts
Behavioral Health & Social Service Providers / Professional 101YP2500X 16743 Texas
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 068.0067951 Vermont

Profile Details

NPI number 1881714798
LBN Legal business name Walls, Theodore Edwin
Credentials M.A., LMHC, LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 2nd, 2007
Last updated Jun 18th, 2022 - about 3 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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