| Taconic Integrative Psychiatric Services, Pllc | |
|
4384 Main Street Manchester VT 05254 | |
| (802) 768-9136 | |
| Not Available |
| Full Name | Taconic Integrative Psychiatric Services, Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4384 Main Street, Manchester, Vermont |
| Authorized Official Name and Position | Adam Pruett (CO-OWNER) |
| Authorized Official Contact | 8027748358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Taconic Integrative Psychiatric Services, Pllc 365 West Rd Manchester Center VT 05255-6308 Ph: (802) 774-8358 | Taconic Integrative Psychiatric Services, Pllc 4384 Main Street Manchester VT 05254 Ph: (802) 768-9136 |
| NPI Number | 1881227452 |
|---|---|
| Provider Enumeration Date | 02/21/2020 |
| Last Update Date | 04/27/2023 |
| Certification Date | 04/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881227452 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
Metta Healing, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4351 Main Street, Manchester, VT 05254 Phone: 802-899-0333 |