# GREEN MOUNTAIN EMDR AND PSYCHOTHERAPY, PLLC

> 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:** Heidi Peterson, LICSW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932551991
- **Authorized official:** HEIDI PETERSON MSW, LICSW (OWNER)
- **Authorized official phone:** (802) 442-3520

## Contact information

- **Practice address:** 160 BENMONT AVE STE 20, BENNINGTON, VT 05201-1842
- **Practice address phone:** (802) 442-3520
- **Mailing address:** PO BOX 846, BENNINGTON, VT 05201-0846
- **Mailing address phone:** (802) 442-3520

## Taxonomy

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

## Other

- **Enumeration date:** 07/01/2016
- **Last updated:** 07/01/2016