| Crescent Moon Counseling | |
|
206 Commerce St Hinesburg VT 05461-4460 | |
| (802) 355-4620 | |
| Not Available |
| Full Name | Crescent Moon Counseling |
|---|---|
| Speciality | Counselor |
| Location | 206 Commerce St, Hinesburg, Vermont |
| Authorized Official Name and Position | Elizabeth Urie Bomberger (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8027357416 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent Moon Counseling 206 Commerce St Hinesburg VT 05461-4460 Ph: (802) 735-7416 | Crescent Moon Counseling 206 Commerce St Hinesburg VT 05461-4460 Ph: (802) 355-4620 |
| NPI Number | 1891318606 |
|---|---|
| Provider Enumeration Date | 05/27/2020 |
| Last Update Date | 10/01/2024 |
| Certification Date | 10/01/2024 |
| Medicare PECOS PAC ID | 5294269593 |
|---|---|
| Medicare Enrollment ID | O20241108002368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891318606 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Elizabeth U Bomberger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528418613 PECOS PAC ID: 1759815228 Enrollment ID: I20241107000590 |
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