Ehrenberg, Thomas

Ehrenberg, Thomas is an sole proprietor health care provider with primary practice located at 67 Main St # 14, Brattleboro VT 05301-3908. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Ehrenberg, Thomas can be contacted via phone (802) 257-7827.

Contact Information

Primary practice address
67 Main St # 14 Brattleboro VT 05301-3908
Phone: (802) 257-7827
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 118 Vermont
Behavioral Health & Social Service Providers / Professional 101YP2500X 118 Vermont

Profile Details

NPI number 1174652085
LBN Legal business name Ehrenberg, Thomas
Credentials LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174652085 NPPES
Vermont MEDICAID 1011032
Vermont Other 18260

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