VINCENT BUCKHOLZ LICSW PLLC NPI 1902305782

NPI Information

NPI: 1902305782
Provider Name: VINCENT BUCKHOLZ, LICSW, PLLC

Doing Business As: COUNTER BALANCE

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
56 MAIN ST STE 212
SPRINGFIELD, VT
ZIP 05156
Phone: (802) 692-0697
Get Directions

VINCENT BUCKHOLZ, LICSW, PLLC is a mental health (including community mental health center) clinic center in Springfield, VT. VINCENT BUCKHOLZ, LICSW, PLLC NPI is 1902305782. The provider is registered as an organization entity type.
The provider Is Doing Business As Counter Balance.

The provider's business location address is:

56 MAIN ST STE 212
SPRINGFIELD, VT
ZIP 05156-945
Phone: (802) 692-0697

The provider's authorized official is Vincent Buckholz .
The authorized official title is Owner and has the following contact phone number (802) 692-0697.

The enumeration date for this NPI number is 2/7/2018 and was last updated on 2/12/2018.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	0890114807	VERMONT	Yes

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	1030150	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: 5/5/2024

NPI Synchronization or Removal

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