| Lisa Kate Lcmhc Llc | |
|
11 Cottage St Brattleboro VT 05301-6560 | |
| (717) 706-4826 | |
| Not Available |
| Full Name | Lisa Kate Lcmhc Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 11 Cottage St, Brattleboro, Vermont |
| Authorized Official Name and Position | Lisa Kate (LICENSED CLINICAL MENTAL HEALTH COU) |
| Authorized Official Contact | 7177064826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Kate Lcmhc Llc 11 Cottage St Brattleboro VT 05301-6560 Ph: (717) 706-4826 | Lisa Kate Lcmhc Llc 11 Cottage St Brattleboro VT 05301-6560 Ph: (717) 706-4826 |
| NPI Number | 1003645631 |
|---|---|
| Provider Enumeration Date | 07/31/2024 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Medicare PECOS PAC ID | 3274071428 |
|---|---|
| Medicare Enrollment ID | O20240819002801 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003645631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Lisa Kate |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619035847 PECOS PAC ID: 8628516879 Enrollment ID: I20240911002614 |
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