Whalio Doctors

NPI 1104522911

Green Mountain Psychotherapy PC

Organisation Adult Mental Health Clinic/Center South Burlington, VT

Practice location

Address
1233 Shelburne Rd STE 460a, South Burlington, VT 05403-7780
Phone
(802) 391-9137
Mailing address
223 Mt Philo Rd, North Ferrisburgh, VT 05473-4015

Authorised official

Name
Morgan Flagg
Title
Owner
Phone
(203) 216-5641

Registered specialties (2)

Adult Mental Health Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI
1104522911
Entity type
Organization
NPI issued
2 Feb 2023
Record last updated
2 Feb 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.