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Organization

RUTLAND MENTAL HEALTH SERVICES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LINDA HEALD (COORDINATOR AR)
(802) 775-8224
Entity
Organization

Contact information

Practice address
78 S MAIN ST, RUTLAND, VT 05701-4530
(802) 775-2381
(802) 747-7699
Mailing address
78 S MAIN ST, RUTLAND, VT 05701-4530
(802) 775-8224
(802) 747-7699

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
261Q00000X
Clinic/Center
261QD1600X
Developmental Disabilities Clinic/Center
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
315P00000X
Intellectual Disabilities Intermediate Care Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00006063
BCBS
VT
01
00018644
BCBS EVERGREEN
VT
05
0006063
VT
01
00800315
BCBS QUITTING TIME
VT
01
00800892
BCBS PARTIAL
VT
05
047M016
VT
05
1001099
VT
05
1002799
VT
05
1006424
VT
05
1007264
VT
05
1007919
VT
05
1009760
VT
05
1009761
VT
01
303598
VALUE OPTIONS
VT
01
5551
MVP
VT
01
5551A
MVP PHD AND MASTERS
VT
01
5551B
MVP MD
VT
Enumeration date
09/14/2005
Last updated
11/07/2023
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