Organization
LARAWAY YOUTH & FAMILY SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E HEATH (BUSINESS MANAGER)
(802) 635-2805
Entity
Organization
Contact information
Practice address
275 VT ROUTE 15 W, JOHNSON, VT 05656-9657
(802) 635-2805
(802) 635-7273
Mailing address
PO BOX 621, 275 VT. RTE. 15 WEST, JOHNSON, VT 05656-0621
(802) 635-2805
(802) 635-7273
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
VT
101YM0800X
Mental Health Counselor
—
VT
101YS0200X
School Counselor
—
VT
103K00000X
Behavior Analyst
—
VT
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
VT
103TB0200X
Cognitive & Behavioral Psychologist
—
VT
103TC0700X
Clinical Psychologist
—
VT
103TC1900X
Counseling Psychologist
—
VT
103TC2200X
Clinical Child & Adolescent Psychologist
—
VT
103TF0000X
Family Psychologist
—
VT
103TM1800X
Intellectual & Developmental Disabilities Psychologist
—
VT
104100000X
Social Worker
—
VT
106H00000X
Marriage & Family Therapist
—
VT
251S00000X
Community/Behavioral Health Agency
Primary
—
VT
Other
Enumeration date
02/08/2012
Last updated
02/08/2012
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