| Mindful Pathways Llc | |
|
615 E Main St Newport VT 05855-5829 | |
| (603) 204-7377 | |
| Not Available |
| Full Name | Mindful Pathways Llc |
|---|---|
| Speciality | Counselor |
| Location | 615 E Main St, Newport, Vermont |
| Authorized Official Name and Position | Maria T Crossman (LICSW/OWNER) |
| Authorized Official Contact | 6032047377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Pathways Llc 615 E Main St Newport VT 05855-5829 Ph: () - | Mindful Pathways Llc 615 E Main St Newport VT 05855-5829 Ph: (603) 204-7377 |
| NPI Number | 1669941951 |
|---|---|
| Provider Enumeration Date | 11/16/2018 |
| Last Update Date | 11/16/2018 |
| Medicare PECOS PAC ID | 9032452644 |
|---|---|
| Medicare Enrollment ID | O20190523000467 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669941951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Maria Theresia Crossman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508129404 PECOS PAC ID: 4082937651 Enrollment ID: I20190607000249 |
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