DISTANCETHERAPY.COM NPI 1013417914

NPI Information

NPI: 1013417914
Provider Name: DISTANCETHERAPY.COM
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
130 MANSFIELD AVE APT 201
BURLINGTON, VT
ZIP 05401
Phone: (802) 448-3954
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DISTANCETHERAPY.COM is a mental health counselor in Burlington, VT. DISTANCETHERAPY.COM NPI is 1013417914. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

130 MANSFIELD AVE APT 201
BURLINGTON, VT
ZIP 05401-396
Phone: (802) 448-3954

The provider's authorized official is Lynn Ruth Martin .
The authorized official title is Mental Health Counselor and has the following contact phone number (802) 448-3954.

The enumeration date for this NPI number is 2/16/2018 and was last updated on 2/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	068.0102645	VERMONT	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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