Organization
LEVITATE LIFESTYLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY CALDWELL LCMHC (OWNER)
(720) 252-3437
Entity
Organization
Contact information
Practice address
1233 SHELBURNE RD STE 120, SOUTH BURLINGTON, VT 05403-7761
(720) 252-3437
Mailing address
PO BOX 64647, BURLINGTON, VT 05406-4647
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
068.0134105
VT
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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