# BREANNA HART THERAPY LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Breanna Hart Therapy
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588483523
- **Authorized official:** BREANNA HART MSW, LICSW (PSYCHOTHERAPIST)
- **Authorized official phone:** (802) 308-5445

## Contact information

- **Practice address:** 1225 VT-15, WOLCOTT, VT 05680
- **Practice address phone:** (802) 760-8191
- **Mailing address:** 1225 VT-15, WOLCOTT, VT 05680-4560
- **Mailing address phone:** (802) 308-5445
- **Mailing address fax:** (802) 308-5445

## Taxonomy

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

## Other

- **Enumeration date:** 10/07/2024
- **Last updated:** 01/09/2025