Phoenix Psychotherapy Llc

LBN: Phoenix Psychotherapy Llc
Phoenix Psychotherapy Llc is an health care organization with primary practice located at 595 Dorset St Ste 2 , South Burlington VT 05403-6240. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Phoenix Psychotherapy Llc can be contacted via phone (802) 651-8999, or through Vanderryn, Judith via phone (802) 651-8999.

Contact Information

Primary practice address
595 Dorset St Ste 2 South Burlington VT 05403-6240
Phone: (802) 651-8999
Fax: (802) 651-8997
Website:
Map and Directions
Authorized official contact:
Name: Vanderryn, Judith PH.D.
Phone: (802) 651-8999

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2051 Colorado

Profile Details

NPI number 1114348166
LBN Legal business name Phoenix Psychotherapy Llc
DBA Doing business as
Authorized official Vanderryn, Judith PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2013
Last updated Dec 18th, 2023 - 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 1114348166 NPPES
Colorado Other 1760587323 INDIVIDUAL NPI

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