| Integral Wellness, Llc | |
|
56 Old Farm Rd Stowe VT 05672-4248 | |
| (802) 343-4796 | |
| (802) 888-2244 |
| Full Name | Integral Wellness, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 56 Old Farm Rd, Stowe, Vermont |
| Authorized Official Name and Position | Kary Ann Bennett (LICENSED MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 8023434796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integral Wellness, Llc Po Box 849 Stowe VT 05672-0849 Ph: (802) 343-4796 | Integral Wellness, Llc 56 Old Farm Rd Stowe VT 05672-4248 Ph: (802) 343-4796 |
| NPI Number | 1538324231 |
|---|---|
| Provider Enumeration Date | 07/22/2008 |
| Last Update Date | 10/11/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538324231 | NPI | - | NPPES |
| 1015273 | Medicaid | VT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 068-0000751 (Vermont) | Primary |
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