Organization · Type 2 NPI

Green Mountain Psychotherapy PC

Adult Mental Health Clinic/Center · South Burlington, VT

NPI number 1104522911 Active

Practice location

1233 Shelburne Rd Ste 460A
South Burlington, VT 05403-7780

Mailing address

223 Mt Philo Rd
North Ferrisburgh, VT 05473-4015

Specialties and licenses

TaxonomyCodeLicense
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed
Adolescent and Children Mental Health Clinic/Center 261QM0855XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1104522911

Green Mountain Psychotherapy PC's National Provider Identifier is 1104522911, issued on Feb 2, 2023. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in South Burlington, VT. The record was last updated on Feb 2, 2023.