| Little Moon Counseling Llc | |
|
106 E State St Montpelier VT 05602-3223 | |
| (802) 557-1527 | |
| Not Available |
| Full Name | Little Moon Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 106 E State St, Montpelier, Vermont |
| Authorized Official Name and Position | Hayden Elmendorf (SOLE MEMBER) |
| Authorized Official Contact | 8025571527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Moon Counseling Llc 106 E State St Montpelier VT 05602-3223 Ph: () - | Little Moon Counseling Llc 106 E State St Montpelier VT 05602-3223 Ph: (802) 557-1527 |
| NPI Number | 1679275499 |
|---|---|
| Provider Enumeration Date | 03/17/2023 |
| Last Update Date | 03/17/2023 |
| Certification Date | 03/17/2023 |
| Medicare PECOS PAC ID | 9335582527 |
|---|---|
| Medicare Enrollment ID | O20240205001846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679275499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Hayden R Elmendorf |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174251342 PECOS PAC ID: 0244673432 Enrollment ID: I20240205001935 |
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