# HELLA S DOUGLAS PLLC

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

## Provider details

- **NPI number:** 1356598742
- **Authorized official:** HELLA SOPHIE DOUGLAS APRN, ADULT PSYCH (OWNER)
- **Authorized official phone:** (802) 876-4000

## Contact information

- **Practice address:** 188 ALLEN BROOK LN, WILLISTON, VT 05495-9303
- **Practice address phone:** (802) 876-4000
- **Practice address fax:** (802) 876-4001
- **Mailing address:** 188 ALLEN BROOK LN, WILLISTON, VT 05495-9303
- **Mailing address phone:** (802) 876-4000
- **Mailing address fax:** (802) 876-4001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | 1010020560 | VT | Yes |

## Other

- **Enumeration date:** 08/27/2008
- **Last updated:** 08/27/2008