Active NPIIndividual provider

Amy Y Poland, LCMHC

Counselor, Mental Health in South Burlington, Vermont

NPI Number1053687608
Practice location
364 Dorset Street, Suite 204, South Burlington, VT 05403
Fax
802-658-9443
Last updated
March 28, 2012

Amy Yvonne Poland is a Counselor, Mental Health based in South Burlington, VT. Amy Yvonne Poland practices in South Burlington, VT and has the professional credentials of LCMHC. The NPI Number for Amy Yvonne Poland is 1053687608 and holds a License No. 068.0075195 (VT). The current practice location address for Amy Yvonne Poland is 364 Dorset Street, Suite 204, South Burlington, VT 05403 and can be reached out via phone at 802-658-9440 and via fax at 802-658-9443.

Provider Profile Details

NPI Number
1053687608
Provider Name
Amy Yvonne Poland
Credential
LCMHC
Provider Entity Type
Individual
Gender
Female
Address
364 Dorset Street, Suite 204, South Burlington, VT 05403
Phone Number
802-658-9440
Fax Number
802-658-9443
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
March 28, 2012
Last Update Date
March 28, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
364 Dorset Street, Suite 204
South Burlington, VT 05403
State
Vermont
Zip
05403
Phone Number
802-658-9440
Fax Number
802-658-9443
South Burlington, VT 05403Get directions →

Provider Business Mailing Address Details

Address
364 Dorset Street, Suite 204
South Burlington, VT 05403
City
South Burlington
State
VT
Zip
05403
Phone Number
802-658-9440
Fax Number
802-658-9443

License Information

License Number
068.0075195
License State
VT
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

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 Amy Y Poland, LCMHC?

The NPI number of Amy Y Poland, LCMHC is 1053687608. It was assigned on March 28, 2012 and is currently active in the NPPES registry.

What is the specialty of Amy Y Poland, LCMHC?

Amy Y Poland, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 068.0075195.

Where does Amy Y Poland, LCMHC practice?

The practice location is 364 Dorset Street, Suite 204, South Burlington, VT 05403. The office can be reached at 802-658-9440 (phone) or 802-658-9443 (fax).

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 1053687608 directly on the NPPES registry website.

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