Organization
GREEN MOUNTAIN PSYCHOTHERAPY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MORGAN FLAGG LICSW (OWNER)
(203) 216-5641
Entity
Organization
Contact information
Practice address
1233 SHELBURNE RD STE 460A, SOUTH BURLINGTON, VT 05403-7780
(802) 391-9137
Mailing address
223 MT PHILO RD, NORTH FERRISBURGH, VT 05473-4015
(203) 216-5641
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
02/02/2023
Last updated
02/02/2023
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