Active NPIIndividual providerSole proprietor

Theodore E Walls, MA, LMHC, LPC

Counselor, Mental Health in Brattleboro, Vermont

NPI Number1881714798
Practice location
54 Harris Pl Ste 105, Brattleboro, VT 05301-6709
Fax
877-532-0268
Last updated
June 18, 2022

Theodore Edwin Walls is a Counselor, Mental Health based in Brattleboro, VT. Theodore Edwin Walls practices in Brattleboro, VT and has the professional credentials of MA, LMHC, LPC. The NPI Number for Theodore Edwin Walls is 1881714798 and holds a License No. 8227 (MA). The current practice location address for Theodore Edwin Walls is 54 Harris Pl Ste 105, Brattleboro, VT 05301-6709 and can be reached out via phone at 802-451-0314 and via fax at 877-532-0268.

Provider Profile Details

NPI Number
1881714798
Provider Name
Theodore Edwin Walls
Credential
MA, LMHC, LPC
Provider Entity Type
Individual
Gender
Male
Address
54 Harris Pl Ste 105, Brattleboro, VT 05301-6709
Phone Number
802-451-0314
Fax Number
877-532-0268
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
April 2, 2007
Last Update Date
June 18, 2022
Certification Date
June 18, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
54 Harris Pl Ste 105
Brattleboro, VT 05301-6709
State
Vermont
Zip
05301-6709
Phone Number
802-451-0314
Fax Number
877-532-0268
Brattleboro, VT 05301Get directions →

Provider Business Mailing Address Details

Address
228 Steady Ln
Ashfield, MA 01330-9724
City
Ashfield
State
MA
Zip
01330-9724
Phone Number
413-345-8745

License Information

License Number (1)
8227
License State (1)
MA
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
16743
License State (2)
TX
Taxonomy (2)
Counselor, Professional · 101YP2500X
License Number (3)
068.0067951
License State (3)
VT
Taxonomy (3)
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 Theodore E Walls, MA, LMHC, LPC?

The NPI number of Theodore E Walls, MA, LMHC, LPC is 1881714798. It was assigned on April 2, 2007 and is currently active in the NPPES registry.

What is the specialty of Theodore E Walls, MA, LMHC, LPC?

Theodore E Walls, MA, LMHC, LPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 8227.

Where does Theodore E Walls, MA, LMHC, LPC practice?

The practice location is 54 Harris Pl Ste 105, Brattleboro, VT 05301-6709. The office can be reached at 802-451-0314 (phone) or 877-532-0268 (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 1881714798 directly on the NPPES registry website.

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