SPECTRUM YOUTH AND FAMILY SERVICES INC. NPI 1164556726

NPI Information

NPI: 1164556726
Provider Name: SPECTRUM YOUTH AND FAMILY SERVICES, INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
84 PINE ST FL 2
BURLINGTON, VT
ZIP 05401
Phone: (802) 864-7423
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SPECTRUM YOUTH AND FAMILY SERVICES, INC. is an addiction (substance use disorder) counselor in Burlington, VT. SPECTRUM YOUTH AND FAMILY SERVICES, INC. NPI is 1164556726. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

84 PINE ST FL 2
BURLINGTON, VT
ZIP 05401-441
Phone: (802) 864-7423
Fax: (833) 857-8969

The provider's authorized official is Mark Redmond .
The authorized official title is Executive Director and has the following contact phone number (802) 864-7423.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 3/27/2024.

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	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes
2	101YM0800X	Counselor	Mental Health			No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	28311	OTHER	VERMONT	BLUE CROSS BLUE SHIELD
2	1006363	MEDICAID	VERMONT

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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