| Brenda Tighe, | |
|
181 Crawford Road, Derby, VT 05829-0000 | |
| (802) 334-6744 | |
| (802) 334-7340 |
| Full Name | Brenda Tighe |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 181 Crawford Road, Derby, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861804833 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 0680073876 (Vermont) | Primary |
| Entity Name | Northeast Kingdom Human Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043372709 PECOS PAC ID: 0941276703 Enrollment ID: O20041012001355 |
| Mailing Address | Practice Location Address |
|---|---|
| Brenda Tighe, Po Box 724, Newport, VT 05855-0724 Ph: (802) 334-6744 | Brenda Tighe, 181 Crawford Road, Derby, VT 05829-0000 Ph: (802) 334-6744 |
Tony J Graveline, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 181 Crawford Road, Derby, VT 05829 Phone: 802-334-6744 | |
Mr. Chad Christopher Patten, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3957 Vt Route 105, Derby, VT 05829 Phone: 802-673-2881 | |
Ashley Sevigny, Counselor Medicare: Not Enrolled in Medicare Practice Location: 181 Cawford Road, Derby, VT 05829 Phone: 802-334-6744 Fax: 802-334-7340 | |
Jessica R Judd, Counselor Medicare: Not Enrolled in Medicare Practice Location: 58 Stagecoach Ln, Derby, VT 05829 Phone: 802-274-8723 | |
Jessica Carr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1329 Vt Route 111, Derby, VT 05829 Phone: 802-487-7589 | |
Kristen Elizabeth Watson, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4095 Gore Rd, Derby, VT 05829 Phone: 802-895-4166 | |
Aaron Billings, Counselor Medicare: Medicare Enrolled Practice Location: 181 Crawford Road, Derby, VT 05829 Phone: 802-334-6744 |