| Inner Bridges Counseling | |
|
81 Belmont Ave Brattleboro VT 05301-6652 | |
| (802) 579-1288 | |
| (802) 246-1261 |
| Full Name | Inner Bridges Counseling |
|---|---|
| Speciality | Counselor |
| Location | 81 Belmont Ave, Brattleboro, Vermont |
| Authorized Official Name and Position | H Elaina Denney (COUNSELOR/OWNER) |
| Authorized Official Contact | 8025791288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Bridges Counseling 81 Belmont Ave Brattleboro VT 05301-6652 Ph: (802) 579-1288 | Inner Bridges Counseling 81 Belmont Ave Brattleboro VT 05301-6652 Ph: (802) 579-1288 |
| NPI Number | 1427532282 |
|---|---|
| Provider Enumeration Date | 09/18/2018 |
| Last Update Date | 09/18/2018 |
| Medicare PECOS PAC ID | 4183963747 |
|---|---|
| Medicare Enrollment ID | O20190227000891 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427532282 | NPI | - | NPPES |
| 1020486 | Medicaid | VT | |
| 12341487 | Other | CAQH | |
| 4525867 | Other | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 068.0062095 (Vermont) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| Provider Name | Earla K Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164891834 PECOS PAC ID: 2365742640 Enrollment ID: I20171128003535 |
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