NPI 1629792114

Northeast Kingdom Trauma Intensives

Organisation Mental Health Clinic/Center (Including Community Mental Health Center) St Johnsbury, VT

Practice location

Address: 293 Pearl St STE 101, St Johnsbury, VT 05819-5641
Phone: (802) 327-5902
Mailing address: 751 Chesterfield Holw, Lyndonville, VT 05851-8530

Authorised official

Name: Jennifer Lynn Keith
Title: Owner/Psychotherapist
Phone: (802) 327-5902

Registered specialties (3)

Mental Health Clinic/Center (Including Community Mental Health Center) Primary

Ambulatory Health Care Facilities Taxonomy 261QM0801X

Other Clinic/Center providers in Vermont →

Adult Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0850X

Adolescent and Children Mental Health Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QM0855X

Registry record

NPI: 1629792114
Entity type: Organization
NPI issued: 28 Sep 2022
Record last updated: 28 Sep 2022

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.