| Shirkshire Counseling Plc | |
|
160 Benmont Ave Ste 31 Bennington VT 05201-1899 | |
| (802) 733-5566 | |
| Not Available |
| Full Name | Shirkshire Counseling Plc |
|---|---|
| Speciality | Social Worker |
| Location | 160 Benmont Ave Ste 31, Bennington, Vermont |
| Authorized Official Name and Position | Kristi Pepoon (OWNER) |
| Authorized Official Contact | 8027335566 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shirkshire Counseling Plc 2092 East Rd Bennington VT 05201-8270 Ph: (802) 733-5566 | Shirkshire Counseling Plc 160 Benmont Ave Ste 31 Bennington VT 05201-1899 Ph: (802) 733-5566 |
| NPI Number | 1649779679 |
|---|---|
| Provider Enumeration Date | 02/05/2018 |
| Last Update Date | 02/05/2018 |
| Medicare PECOS PAC ID | 7012279250 |
|---|---|
| Medicare Enrollment ID | O20180327003042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649779679 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 151.0124428 (Vermont) | Secondary |
| 1041C0700X | Social Worker - Clinical | 089.0115546 (Vermont) | Primary |
| Provider Name | Kristi Pepoon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790207504 PECOS PAC ID: 4688936735 Enrollment ID: I20180329001758 |
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