# GREEN MOUNTAIN BIRTH CENTER, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Green Mountain Birth & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649142050
- **Authorized official:** MARY LOU KOPAS CNM, APRN (BOARD OF DIRECTORS)
- **Authorized official phone:** (206) 850-3423

## Contact information

- **Practice address:** 24 UPPER MAIN ST, MORRISVILLE, VT 05661-9351
- **Practice address phone:** (206) 850-3423
- **Mailing address:** 903 GOULD HL, JOHNSON, VT 05656-9288
- **Mailing address phone:** (206) 850-3423

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 176B00000X | Midwife | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 367A00000X | Advanced Practice Midwife | — | NULL | Yes |
| 367A00000X | Advanced Practice Midwife | — | — | Yes |

## Other

- **Enumeration date:** 09/23/2025
- **Last updated:** 05/06/2026
