Organization · Type 2 NPI

Health Care and Rehabilitation Services of Southeastern Vermont, Inc.

Mental Illness Community Based Residential Treatment Facility · Woodstock, VT

NPI number 1336071711 Active

Practice location

1087 W Woodstock Rd
Woodstock, VT 05091-3122

Call (802) 886-4500 Map

Fax (802) 886-4520

Mailing address

390 River St
Springfield, VT 05156-2226

Specialties and licenses

Taxonomy	Code	License
Mental Illness Community Based Residential Treatment Facility Primary	320800000X	None listed

Mental Illness Community Based Residential Treatment Facility: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

NPI record

NPI: 1336071711
Entity type: Organization (Type 2)
Issued: Jun 1, 2026
Last updated: Jun 1, 2026
Status: Active
Subpart: Yes of Health Care and Rehabilitation Services of Southeastern Vermont, Inc.

Other names

Woodstock Therapeutic Community Residential · other name

Authorized official

Heather Lockwood
Billing Manager
(802) 886-4567

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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 1336071711

Health Care and Rehabilitation Services of Southeastern Vermont, Inc.'s National Provider Identifier is 1336071711, issued on Jun 1, 2026. The primary taxonomy on file is Mental Illness Community Based Residential Treatment Facility (320800000X), and the practice location is in Woodstock, VT. The record was last updated on Jun 1, 2026.