Individual
GEORGINA LYNN ACHILLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHC
Contact information
Practice address
145 PINE HAVEN SHORES RD, SUITE 2091, SHELBURNE, VT 05482-7703
(802) 233-5086
Mailing address
145 PINE HAVEN SHORES RD, SUITE 2091, SHELBURNE, VT 05482-7703
(802) 233-5086
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068-0000760
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1467606897
BLUE CROSS/BLUE SHIELD OF VERMONT
VT
05
—
1467606897
—
VT
01
—
432712
TRICARE
—
01
—
989026C
MVP HEALTHCARE
VT
Enumeration date
11/12/2008
Last updated
03/28/2016
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