Organization · Type 2 NPI
Liza Mitrofanova PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · Marlboro, VT
NPI number
1851219075
Active
Practice location
314 Upper Houghton Rd., Unit B
Marlboro, VT 05344
Mailing address
PO Box 322
Marlboro, VT 05344-0322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
About NPI 1851219075
Liza Mitrofanova PLLC's National Provider Identifier is 1851219075, issued on Jul 7, 2026. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Marlboro, VT. The record was last updated on Jul 7, 2026.