| Confluence Psychotherapy Plc | |
|
114 Cemetery Ave Manchester Center VT 05255-9701 | |
| (802) 440-0972 | |
| Not Available |
| Full Name | Confluence Psychotherapy Plc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 114 Cemetery Ave, Manchester Center, Vermont |
| Authorized Official Name and Position | Chad Allen Lazzari (OWNER/OPERATOR) |
| Authorized Official Contact | 8024400972 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Confluence Psychotherapy Plc Po Box 187 East Arlington VT 05252-0187 Ph: (802) 440-0972 | Confluence Psychotherapy Plc 114 Cemetery Ave Manchester Center VT 05255-9701 Ph: (802) 440-0972 |
| NPI Number | 1124819214 |
|---|---|
| Provider Enumeration Date | 05/16/2025 |
| Last Update Date | 05/16/2025 |
| Certification Date | 05/16/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124819214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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