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Licia Berry-berard, Msw, Licsw Llc
Clinic/Center in Thetford, Vermont
NPI 1124891809

Licia Berry-berard, Msw, Licsw Llc is a Clinic/Center based in North Thetford, VT. Licia Berry-berard, Msw, Licsw Llc practices in Thetford, VT. The NPI Number for Licia Berry-berard, Msw, Licsw Llc is 1124891809 and holds a License No. (Vermont).

The current practice location address for Licia Berry-berard, Msw, Licsw Llc is 321 Route 113, Thetford, VT and can be reached out via phone at 802-565-0424.

Location: 321 Route 113, Thetford, VT, 05054-0044
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1124891809
Provider Name
Licia Berry-berard, Msw, Licsw Llc
Credential
Provider Entity Type
Organization
Address
321 Route 113, Thetford, VT, 05054-0044
Phone Number
802-565-0424
Fax Number
Provider Enumeration Date
11/03/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
321 Route 113
City
Thetford
State
Vermont
Zip
05054
Phone Number
802-565-0424
Fax Number
person
Provider Business Mailing Address Details
Address
321 Route 113
City
Thetford
State
Vermont
Zip
05054
Phone Number
802-565-0424
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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