# WELLMIND VERMONT, PLLC

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

## Provider details

- **NPI number:** 1144080326
- **Authorized official:** MR. MICHAEL EDWARD LAWRIE JR. APRN (OWNER-MEMBER)
- **Authorized official phone:** (802) 417-2039

## Contact information

- **Practice address:** 186 STATE ST, RUTLAND, VT 05701-2752
- **Practice address phone:** (802) 417-2039
- **Practice address fax:** (802) 209-8870
- **Mailing address:** 186 STATE ST, RUTLAND, VT 05701-2752
- **Mailing address phone:** (802) 417-2039
- **Mailing address fax:** (802) 209-8870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 03/22/2024
- **Last updated:** 03/30/2024