| Maddie Sivo Counseling Llc | |
|
125 Southfield Dr Williston VT 05495-5211 | |
| (603) 493-6179 | |
| Not Available |
| Full Name | Maddie Sivo Counseling Llc |
|---|---|
| Speciality | Counselor |
| Location | 125 Southfield Dr, Williston, Vermont |
| Authorized Official Name and Position | Madeline Sivo (MANAGER) |
| Authorized Official Contact | 6034936179 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maddie Sivo Counseling Llc 125 Southfield Dr Williston VT 05495-5211 Ph: (603) 493-6179 | Maddie Sivo Counseling Llc 125 Southfield Dr Williston VT 05495-5211 Ph: (603) 493-6179 |
| NPI Number | 1629705728 |
|---|---|
| Provider Enumeration Date | 08/08/2022 |
| Last Update Date | 12/14/2022 |
| Certification Date | 12/14/2022 |
| Medicare PECOS PAC ID | 1850769746 |
|---|---|
| Medicare Enrollment ID | O20221128000736 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629705728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Madeline Sivo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578920948 PECOS PAC ID: 4082919345 Enrollment ID: I20160224000927 |
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