# BLUE SPRUCE THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083353353
- **Authorized official:** AUDREY KIELY (OWNER)
- **Authorized official phone:** (802) 760-0919

## Contact information

- **Practice address:** 109 PROFESSIONAL DR STE 3, MORRISVILLE, VT 05661-9302
- **Practice address phone:** (802) 760-0919
- **Mailing address:** 109 PROFESSIONAL DR STE 3, MORRISVILLE, VT 05661-9302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 06/03/2022
- **Last updated:** 06/03/2022