- Practice location
- 4095 Gore RD, Derby, VT 05829-9408
- Phone
- 802-673-6476
- Fax
- —
- Last updated
- December 15, 2020
Kingdom Therapeutics At Safe Haven Farm, Incorporated is a healthcare organization based in Derby, VT. Kingdom Therapeutics At Safe Haven Farm, Incorporated practices in Derby, VT. The NPI Number for Kingdom Therapeutics At Safe Haven Farm, Incorporated is 1609462605. The current practice location address for Kingdom Therapeutics At Safe Haven Farm, Incorporated is 4095 Gore RD, Derby, VT 05829-9408 and can be reached out via phone at 802-673-6476.
Provider Profile Details
- NPI Number
- 1609462605
- Provider Name
- Kingdom Therapeutics At Safe Haven Farm, Incorporated
- Provider Entity Type
- Organization
- Address
- 4095 Gore RD, Derby, VT 05829-9408
- Phone Number
- 802-673-6476
- Primary Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Organization Subpart
- No
- Authorized Official
- Kristen Watson, LCMHC · Clinical Mental Health Counselor · 802-673-6476
- Provider Enumeration Date
- December 15, 2020
- Last Update Date
- December 15, 2020
- Certification Date
- December 15, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 4095 Gore RD
Derby, VT 05829-9408 - City
- Derby
- State
- Vermont
- Zip
- 05829-9408
- Phone Number
- 802-673-6476
Provider Business Mailing Address Details
- Address
- 2735 Dane Hill RD
West Charleston, VT 05872-9581 - City
- West Charleston
- State
- VT
- Zip
- 05872-9581
- Phone Number
- 802-673-6476
License Information
- Taxonomy
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Mental Health (Including Community Mental Health Center) providers near Derby, VT
View all Clinic/Center, Mental Health (Including Community Mental Health Center) providers in Derby →- Mrs. Emily L Jankowski, MS, LCMHCCounselor, Mental Health · NPI 1184999831
- Mary-Lynn GareyCounselor, Mental Health · NPI 1881405892
- Northeast Kingdom Human Services, INCCommunity/Behavioral Health · NPI 1215811922
- Raven Ferguson IBehavior Technician · NPI 1134073307
- Amanda Koennicke, MACounselor, Mental Health · NPI 1982573606
- Jessica CarrCounselor · NPI 1417749839
Frequently Asked Questions
What is the NPI number of Kingdom Therapeutics At Safe Haven Farm, Incorporated?
The NPI number of Kingdom Therapeutics At Safe Haven Farm, Incorporated is 1609462605. It was assigned on December 15, 2020 and is currently active in the NPPES registry.
What is the specialty of Kingdom Therapeutics At Safe Haven Farm, Incorporated?
Kingdom Therapeutics At Safe Haven Farm, Incorporated is registered under the primary taxonomy Clinic/Center, Mental Health (Including Community Mental Health Center) (code 261QM0801X).
Where does Kingdom Therapeutics At Safe Haven Farm, Incorporated practice?
The practice location is 4095 Gore RD, Derby, VT 05829-9408. The office can be reached at 802-673-6476 (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 1609462605 directly on the NPPES registry website.