# MOUNTAIN SPRING WELLNESS LLC

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

## Provider details

- **NPI number:** 1326515800
- **Authorized official:** MR. ERICK JAMES LATTRELL LICSW (PSYCHOTHERAPIST/OWNER)
- **Authorized official phone:** (802) 310-6089

## Contact information

- **Practice address:** 1617 DOWSVILLE RD, SOUTH DUXBURY, VT 05660-9165
- **Practice address phone:** (802) 310-6089
- **Mailing address:** PO BOX 734, WATERBURY, VT 05676-0734
- **Mailing address phone:** (802) 310-6089

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2018
- **Last updated:** 07/16/2021