Organization
PHOENIX COUNSELING & WELLNESS, PLC
Active
Other names
Lauren LaSante
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LAUREN ANN LASANTE MS, LCMHC, LADC (OWNER)
(802) 353-3377
Entity
Organization
Contact information
Practice address
198 N MAIN ST STE C-5, RUTLAND, VT 05701
(802) 772-4675
(802) 610-1060
Mailing address
PO BOX 6758, RUTLAND, VT 05702-6758
(802) 772-4675
(802) 610-1060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
06.80047526
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1017232
—
VT
Enumeration date
06/16/2018
Last updated
06/28/2018
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