# SPROUT SUPPORTIVE COUNSELING LLC

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

## Provider details

- **NPI number:** 1649931874
- **Authorized official:** LAUREN GIUMARRA LICSW (CLINICIAN)
- **Authorized official phone:** (802) 391-9514

## Contact information

- **Practice address:** 337 COLLEGE ST STE 302, BURLINGTON, VT 05401-8344
- **Practice address phone:** (802) 391-9514
- **Mailing address:** PO BOX 101, WINOOSKI, VT 05404-0101
- **Mailing address phone:** (802) 391-9514

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0850X | Adult Mental Health Clinic/Center | — | — | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2022
- **Last updated:** 01/10/2022