Organization · Type 2 NPI

Licia Berry-Berard, Msw, Licsw LLC

Community/Behavioral Health Agency · Thetford, VT

NPI number 1124891809 Active

Practice location

321 Route 113
Thetford, VT 05054

Call (802) 565-0424 Map

Mailing address

PO Box 44
North Thetford, VT 05054-0044

Other practice locations

312 Clay Rd, North Thetford, VT 05054 · (802) 698-2246

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed
Clinic/Center	261Q00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

NPI record

NPI: 1124891809
Entity type: Organization (Type 2)
Issued: Nov 3, 2023
Last updated: Jan 2, 2024
Status: Active

Other names

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Licia Berry-Berard, Msw, Licsw LLC · former legal business name
Licia Berry-Berard, Msw, Licsw LLC · former legal business name

Authorized official

Licia Lane Berry-Berard, MSW, LICSW
Owner
(802) 698-2246

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1124891809

Licia Berry-Berard, Msw, Licsw LLC's National Provider Identifier is 1124891809, issued on Nov 3, 2023. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Thetford, VT. The record was last updated on Jan 2, 2024.