Lodge Psychotherapy

LBN: Xander Lodge, Ma, Plc
Lodge Psychotherapy is an health care organization with primary practice located at 75 Talcott Rd Ste 30 , Williston VT 05495-8122. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Xander Lodge, Ma, Plc can be contacted via phone (802) 503-2929, or through Lodge, Alexander via phone (802) 503-2929.

Contact Information

Primary practice address
75 Talcott Rd Ste 30 Williston VT 05495-8122
Fax:
Website:
Authorized official contact:
Name: Lodge, Alexander Master of Arts (MA)

Health care specialties

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

Profile Details

NPI number 1255053930
LBN Legal business name Xander Lodge, Ma, Plc
DBA Doing business as Lodge Psychotherapy
Authorized official Lodge, Alexander Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2022
Last updated Jun 17th, 2024 - 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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