| Baroody Counseling Pllc | |
|
77 Grove St Ste 107 Rutland VT 05701-3403 | |
| (802) 379-9675 | |
| Not Available |
| Full Name | Baroody Counseling Pllc |
|---|---|
| Speciality | Counselor |
| Location | 77 Grove St Ste 107, Rutland, Vermont |
| Authorized Official Name and Position | Kathleen E Baroody (PROVIDER) |
| Authorized Official Contact | 4073129781 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baroody Counseling Pllc 187 Countryside Dr Rutland VT 05701-9313 Ph: (407) 312-9781 | Baroody Counseling Pllc 77 Grove St Ste 107 Rutland VT 05701-3403 Ph: (802) 379-9675 |
| NPI Number | 1497404438 |
|---|---|
| Provider Enumeration Date | 03/18/2022 |
| Last Update Date | 03/28/2024 |
| Certification Date | 03/28/2024 |
| Medicare PECOS PAC ID | 6002330198 |
|---|---|
| Medicare Enrollment ID | O20250410001290 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497404438 | NPI | - | NPPES |
| 6709102 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kathleen E Baroody |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619502648 PECOS PAC ID: 7810411907 Enrollment ID: I20250410001714 |
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