- Practice location
- 912 Route 4A W Ste 2, Hydeville, VT 05750-9700
- Phone
- 802-558-3477
- Fax
- —
- Last updated
- September 23, 2020
Tamara M Derosia is a Counselor, Mental Health based in Hydeville, VT. Tamara M Derosia practices in Hydeville, VT and has the professional credentials of LCMHC. The NPI Number for Tamara M Derosia is 1255598355 and holds a License No. 0680000742 (VT). The current practice location address for Tamara M Derosia is 912 Route 4A W Ste 2, Hydeville, VT 05750-9700 and can be reached out via phone at 802-558-3477.
Provider Profile Details
- NPI Number
- 1255598355
- Provider Name
- Tamara M Derosia
- Credential
- LCMHC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 912 Route 4A W Ste 2, Hydeville, VT 05750-9700
- Phone Number
- 802-558-3477
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 18, 2008
- Last Update Date
- September 23, 2020
- Certification Date
- September 23, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 912 Route 4A W Ste 2
Hydeville, VT 05750-9700 - City
- Hydeville
- State
- Vermont
- Zip
- 05750-9700
- Phone Number
- 802-558-3477
Provider Business Mailing Address Details
- Address
- 20 Adams St
Fair Haven, VT 05743-1238 - City
- Fair Haven
- State
- VT
- Zip
- 05743-1238
- Phone Number
- 802-265-3558
License Information
- License Number
- 0680000742
- License State
- VT
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Hydeville, VT
View all Counselor, Mental Health providers in Hydeville →Frequently Asked Questions
What is the NPI number of Tamara M Derosia, LCMHC?
The NPI number of Tamara M Derosia, LCMHC is 1255598355. It was assigned on May 18, 2008 and is currently active in the NPPES registry.
What is the specialty of Tamara M Derosia, LCMHC?
Tamara M Derosia, LCMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 0680000742.
Where does Tamara M Derosia, LCMHC practice?
The practice location is 912 Route 4A W Ste 2, Hydeville, VT 05750-9700. The office can be reached at 802-558-3477 (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 1255598355 directly on the NPPES registry website.