| Stowe Therapeutic Solutions, Llc | |
|
3180 Mountain Rd Stowe VT 05672-4804 | |
| (561) 891-9643 | |
| Not Available |
| Full Name | Stowe Therapeutic Solutions, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 3180 Mountain Rd, Stowe, Vermont |
| Authorized Official Name and Position | Sean Ryan (PRINICPAL) |
| Authorized Official Contact | 5618919643 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stowe Therapeutic Solutions, Llc 40 Tamarack Ln Waterbury Center VT 05677-4415 Ph: (561) 891-9643 | Stowe Therapeutic Solutions, Llc 3180 Mountain Rd Stowe VT 05672-4804 Ph: (561) 891-9643 |
| NPI Number | 1942920442 |
|---|---|
| Provider Enumeration Date | 09/02/2022 |
| Last Update Date | 09/02/2022 |
| Certification Date | 09/02/2022 |
| Medicare PECOS PAC ID | 3072999838 |
|---|---|
| Medicare Enrollment ID | O20220930001685 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942920442 | NPI | - | NPPES |
| Provider Name | Sean Patrick Ryan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003367319 PECOS PAC ID: 8325315682 Enrollment ID: I20171116000861 |
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