Active NPIIndividual provider

Tony J Graveline, LADC

Counselor, Mental Health in Derby, Vermont

NPI Number1023316494
Practice location
181 Crawford Road, Derby, VT 05829
Fax
—
Last updated
September 5, 2014

Tony J Graveline is a Counselor, Mental Health based in Derby, VT. Tony J Graveline practices in Derby, VT and has the professional credentials of LADC. The NPI Number for Tony J Graveline is 1023316494 and holds a License No. 0680101473 (VT). The current practice location address for Tony J Graveline is 181 Crawford Road, Derby, VT 05829 and can be reached out via phone at 802-334-6744.

Provider Profile Details

NPI Number
1023316494
Provider Name
Tony J Graveline
Credential
LADC
Provider Entity Type
Individual
Gender
Male
Address
181 Crawford Road, Derby, VT 05829
Phone Number
802-334-6744
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
March 8, 2011
Last Update Date
September 5, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
181 Crawford Road
Derby, VT 05829
City
Derby
State
Vermont
Zip
05829
Phone Number
802-334-6744
Derby, VT 05829Get directions →

Provider Business Mailing Address Details

Address
Po Box 724
Newport, VT 05855
City
Newport
State
VT
Zip
05855
Phone Number
802-334-6744

License Information

License Number (1)
0680101473
License State (1)
VT
Taxonomy (1)
Counselor, Mental Health · 101YM0800X · Primary
License Number (2)
000526
License State (2)
VT

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tony J Graveline, LADC?

The NPI number of Tony J Graveline, LADC is 1023316494. It was assigned on March 8, 2011 and is currently active in the NPPES registry.

What is the specialty of Tony J Graveline, LADC?

Tony J Graveline, LADC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 0680101473.

Where does Tony J Graveline, LADC practice?

The practice location is 181 Crawford Road, Derby, VT 05829. The office can be reached at 802-334-6744 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023316494 directly on the NPPES registry website.

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