Active NPIIndividual providerSole proprietor

Mr. Gavin Flanagan, MA

Counselor, Mental Health in Salisbury, Vermont

NPI Number1689867244
Practice location
1028 Lake Dunmore RD, Salisbury, VT 05769-9755
Fax
815-572-0389
Last updated
January 16, 2021

Gavin Flanagan is a Counselor, Mental Health based in Salisbury, VT. Gavin Flanagan practices in Salisbury, VT and has the professional credentials of MA. The NPI Number for Gavin Flanagan is 1689867244 and holds a License No. 068.0089767 (VT). The current practice location address for Gavin Flanagan is 1028 Lake Dunmore RD, Salisbury, VT 05769-9755 and can be reached out via phone at 802-735-9080 and via fax at 815-572-0389.

Provider Profile Details

NPI Number
1689867244
Provider Name
Gavin Flanagan
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
1028 Lake Dunmore RD, Salisbury, VT 05769-9755
Phone Number
802-735-9080
Fax Number
815-572-0389
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
August 27, 2007
Last Update Date
January 16, 2021
Certification Date
December 28, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1028 Lake Dunmore RD
Salisbury, VT 05769-9755
State
Vermont
Zip
05769-9755
Phone Number
802-735-9080
Fax Number
815-572-0389
Salisbury, VT 05769Get directions →

Provider Business Mailing Address Details

Address
Po Box 322
Middlebury, VT 05753-0322
City
Middlebury
State
VT
Zip
05753-0322
Phone Number
802-735-9080
Fax Number
815-572-0389

License Information

License Number
068.0089767
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 Mr. Gavin Flanagan, MA?

The NPI number of Mr. Gavin Flanagan, MA is 1689867244. It was assigned on August 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Mr. Gavin Flanagan, MA?

Mr. Gavin Flanagan, MA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in VT under license number 068.0089767.

Where does Mr. Gavin Flanagan, MA practice?

The practice location is 1028 Lake Dunmore RD, Salisbury, VT 05769-9755. The office can be reached at 802-735-9080 (phone) or 815-572-0389 (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 1689867244 directly on the NPPES registry website.

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