Charles Corbally Pllc

LBN: Charles Corbally Pllc
Charles Corbally Pllc is an health care organization with primary practice located at 2 Church St Ste 3G , Burlington VT 05401-4457. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Charles Corbally Pllc can be contacted via phone (802) 281-3330, or through Corbally, Charles J. via phone (802) 281-3330.

Contact Information

Primary practice address
2 Church St Ste 3G Burlington VT 05401-4457
Phone: (802) 281-3330
Fax: (802) 540-8199
Website:
Map and Directions
Authorized official contact:
Name: Corbally, Charles J. Licensed Clinical Social Worker (LCSW)
Phone: (802) 281-3330

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 089.0117025 Vermont

Profile Details

NPI number 1063921740
LBN Legal business name Charles Corbally Pllc
DBA Doing business as
Authorized official Corbally, Charles J. Licensed Clinical Social Worker (LCSW)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 25th, 2017
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063921740 NPPES
Vermont MEDICAID 1028428

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