# UNITED COUNSELING SERVICE OF BENNINGTON COUNTY, INC

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

## Provider details

- **NPI number:** 1831353630
- **Authorized official:** RALPH J PROVENZA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (802) 442-5491

## Contact information

- **Practice address:** 100 LEDGEHILL RD, BENNINGTON, VT 05201-2273
- **Practice address phone:** (802) 442-5491
- **Mailing address:** PO BOX 588, BENNINGTON, VT 05201-0588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/11/2008
- **Last updated:** 10/09/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 047W296 | — | VT |