Northeast Kingdom Trauma Intensives

LBN: Northeast Kingdom Trauma Intensives
Northeast Kingdom Trauma Intensives is an health care organization with primary practice located at 293 Pearl St Ste 101 , St Johnsbury VT 05819-5641. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Northeast Kingdom Trauma Intensives can be contacted via phone (802) 327-5902, or through Keith, Jennifer Lynn via phone (802) 327-5902.

Contact Information

Primary practice address
293 Pearl St Ste 101 St Johnsbury VT 05819-5641
Phone: (802) 327-5902
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Keith, Jennifer Lynn PHD, LPC, LCHMC, NCC
Phone: (802) 327-5902

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1629792114
LBN Legal business name Northeast Kingdom Trauma Intensives
DBA Doing business as
Authorized official Keith, Jennifer Lynn PHD, LPC, LCHMC, NCC
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2022
Last updated Sep 28th, 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.

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