Organization
EMBODIMENT PSYCHOTHERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER PARKER LCMHC (OWNER)
(802) 522-0069
Entity
Organization
Contact information
Practice address
300 ACORN DR UNIT 302, WATERBURY, VT 05676-9827
(802) 522-0069
Mailing address
300 ACORN DR UNIT 302, WATERBURY, VT 05676-9827
(802) 522-0069
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/23/2022
Last updated
02/23/2022
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