Active NPIIndividual provider

Mary G Coventry, MA LCMHC

Counselor, Mental Health in Brattleboro, Vermont

NPI Number1053792929
Practice location
51 Fairview Street, Brattleboro, VT 05301-6629
Fax
802-254-7501
Last updated
September 20, 2019

Mary G. Coventry is a Counselor, Mental Health based in Brattleboro, VT. Mary G. Coventry practices in Brattleboro, VT and has the professional credentials of MA LCMHC. The NPI Number for Mary G. Coventry is 1053792929 and holds a License No. 068-0134112 (VT). The current practice location address for Mary G. Coventry is 51 Fairview Street, Brattleboro, VT 05301-6629 and can be reached out via phone at 802-254-6028 and via fax at 802-254-7501.

Provider Profile Details

NPI Number
1053792929
Provider Name
Mary G. Coventry
Credential
MA LCMHC
Provider Entity Type
Individual
Gender
Female
Address
51 Fairview Street, Brattleboro, VT 05301-6629
Phone Number
802-254-6028
Fax Number
802-254-7501
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
June 16, 2015
Last Update Date
September 20, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
51 Fairview Street
Brattleboro, VT 05301-6629
State
Vermont
Zip
05301-6629
Phone Number
802-254-6028
Fax Number
802-254-7501
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
390 River Street
Springfield, VT 05156-2226
City
Springfield
State
VT
Zip
05156-2226
Phone Number
802-886-4500
Fax Number
802-886-4560

License Information

License Number
068-0134112
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 Mary G Coventry, MA LCMHC?

The NPI number of Mary G Coventry, MA LCMHC is 1053792929. It was assigned on June 16, 2015 and is currently active in the NPPES registry.

What is the specialty of Mary G Coventry, MA LCMHC?

Mary G Coventry, MA LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 068-0134112.

Where does Mary G Coventry, MA LCMHC practice?

The practice location is 51 Fairview Street, Brattleboro, VT 05301-6629. The office can be reached at 802-254-6028 (phone) or 802-254-7501 (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 1053792929 directly on the NPPES registry website.

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