Avery M Gardner
Counselor, Mental Health in South Burlington, Vermont
1912790916- Practice location
- 1233 Shelburne RD Ste 203, South Burlington, VT 05403-7733
- Phone
- 802-391-0704
- Fax
- —
- Last updated
- May 23, 2025
Avery Mccoy Gardner is a Counselor, Mental Health based in South Burlington, VT. Avery Mccoy Gardner practices in South Burlington, VT. The NPI Number for Avery Mccoy Gardner is 1912790916 and holds a License No. C.2406382 (OH). The current practice location address for Avery Mccoy Gardner is 1233 Shelburne RD Ste 203, South Burlington, VT 05403-7733 and can be reached out via phone at 802-391-0704.
Provider Profile Details
- NPI Number
- 1912790916
- Provider Name
- Avery Mccoy Gardner
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1233 Shelburne RD Ste 203, South Burlington, VT 05403-7733
- Phone Number
- 802-391-0704
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 23, 2025
- Last Update Date
- May 23, 2025
- Certification Date
- May 23, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1233 Shelburne RD Ste 203
South Burlington, VT 05403-7733 - City
- South Burlington
- State
- Vermont
- Zip
- 05403-7733
- Phone Number
- 802-391-0704
Provider Business Mailing Address Details
- Address
- 201 West St Apt A
Winooski, VT 05404-1775 - City
- Winooski
- State
- VT
- Zip
- 05404-1775
- Phone Number
- 609-661-2423
License Information
- License Number (1)
- C.2406382
- License State (1)
- OH
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- 097.0136418
- License State (2)
- VT
- Taxonomy (2)
- 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 South Burlington, VT
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Frequently Asked Questions
What is the NPI number of Avery M Gardner?
The NPI number of Avery M Gardner is 1912790916. It was assigned on May 23, 2025 and is currently active in the NPPES registry.
What is the specialty of Avery M Gardner?
Avery M Gardner is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in OH under license number C.2406382.
Where does Avery M Gardner practice?
The practice location is 1233 Shelburne RD Ste 203, South Burlington, VT 05403-7733. The office can be reached at 802-391-0704 (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 1912790916 directly on the NPPES registry website.