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Organization
UNITED COUNSELING SERVICE OF BENNINGTON COUNTY, INC.
Active
Organization
UNITED COUNSELING SERVICE OF BENNINGTON COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORNA W MATTERN (EXECUTIVE DIRECTOR)
(802) 442-5491
Entity
Organization
Contact information
Practice address
100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
(802) 442-5491
Mailing address
PO BOX 588, BENNINGTON, VT 05201-0588
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
NULL
251C00000X
Developmentally Disabled Services Day Training Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261Q00000X
Clinic/Center
Primary
—
NULL
261QC1500X
Community Health Clinic/Center
—
NULL
261QD1600X
Developmental Disabilities Clinic/Center
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
NULL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
310400000X
Assisted Living Facility
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006139
—
VT
05
—
047W088
—
VT
01
—
073487
VALUE OPTIONS
—
05
—
1001095
—
VT
05
—
1005330
—
VT
05
—
1006426
—
VT
05
—
1007294
—
VT
05
—
1007386
—
VT
05
—
1009768
—
VT
05
—
1009769
—
VT
05
—
1015699
—
VT
01
—
1765
CDPHP
—
01
—
2032392
CIGNA
—
01
—
261642
MASS BLUE CROSS
—
01
—
341565
TRICARE
—
05
—
6030008
—
VT
01
—
6139
VT BLUE CROSS
VT
01
—
63941
MVP
—
01
—
7010136
AETNA
VT
Enumeration date
01/26/2007
Last updated
05/07/2019
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