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:
Authorized official contact:
Name: Corbally, Charles J. Licensed Clinical Social Worker (LCSW)
Phone: (802) 281-3330
Health care specialties
Specialty | Code | License # | 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 3 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1063921740 | NPPES |
Vermont | MEDICAID | 1028428 |
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