| Dawn Chorus Psychotherapy Llc | |
|
480 Clif Reynolds Rd Jeffersonville VT 05464-9474 | |
| (845) 392-5510 | |
| Not Available |
| Full Name | Dawn Chorus Psychotherapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 480 Clif Reynolds Rd, Jeffersonville, Vermont |
| Authorized Official Name and Position | Steven Lilly (OWNER) |
| Authorized Official Contact | 8453925510 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dawn Chorus Psychotherapy Llc 480 Clif Reynolds Rd Jeffersonville VT 05464-9474 Ph: () - | Dawn Chorus Psychotherapy Llc 480 Clif Reynolds Rd Jeffersonville VT 05464-9474 Ph: (845) 392-5510 |
| NPI Number | 1124825799 |
|---|---|
| Provider Enumeration Date | 02/28/2025 |
| Last Update Date | 04/03/2025 |
| Certification Date | 04/03/2025 |
| Medicare PECOS PAC ID | 0547787459 |
|---|---|
| Medicare Enrollment ID | O20250505001909 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124825799 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Steven Lilly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821849720 PECOS PAC ID: 4880111798 Enrollment ID: I20250505002096 |
Center For Trauma Recovery Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 523 Smugglers View Rd, Jeffersonville, VT 05464 Phone: 802-324-3792 |