| Marjorie Ann Trombly, LCMHC | |
|
156 Main St, Montpelier, VT 05602-2702 | |
| (802) 223-4738 | |
| (802) 223-6067 |
| Full Name | Marjorie Ann Trombly |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 156 Main St, Montpelier, Vermont |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124351945 | NPI | - | NPPES |
| 1016831 | Medicaid | VT | |
| 989026C | Other | VT | MVP HEALTHCARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 068.0057650 (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 |
|---|---|
| Marjorie Ann Trombly, LCMHC 111 Colchester Ave, Burlington, VT 05401-1473 Ph: () - | Marjorie Ann Trombly, LCMHC 156 Main St, Montpelier, VT 05602-2702 Ph: (802) 223-4738 |
Lydia Slocum Russell, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 132 Main St Ste 2, Montpelier, VT 05602 Phone: 802-461-8269 Fax: 802-461-8269 | |
Helene V Amses, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 Barre St, Montpelier, VT 05602 Phone: 802-229-8000 Fax: 802-229-8030 | |
Michele Clark, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 25 Court St, Montpelier, VT 05602 Phone: 802-229-9608 | |
David Rapp, MS Counselor Medicare: Medicare Enrolled Practice Location: 79 Main St Ste 7, Montpelier, VT 05602 Phone: 802-989-5819 | |
Laurie L. Pontbriand, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Heaton St, Montpelier, VT 05602 Phone: 802-223-6328 Fax: 802-229-8004 | |
Jennette Difazio, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 73 Main St, Montpelier, VT 05602 Phone: 802-225-8355 Fax: 802-223-8105 | |
David C Spence, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 157 Barre Street, Montpelier, VT 05602 Phone: 802-229-8000 Fax: 802-229-8030 |