1275265811 NPI number — ELIZABETH ALIBERTI ART THERAPY AND COUNSELING

Table of content: (NPI 1275265811)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275265811 NPI number — ELIZABETH ALIBERTI ART THERAPY AND COUNSELING

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
ELIZABETH ALIBERTI ART THERAPY AND COUNSELING
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275265811
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/30/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
203 SHELBURNE FALLS RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HINESBURG
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05461-9610
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-816-5557
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
206 COMMERCE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HINESBURG
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05461-4460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-560-4686
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/30/2022

Additional Information

Authorized Official

Authorized Official Last Name:
ALIBERTI
Authorized Official First Name:
ELIZABETH
Authorized Official Middle Name:
JANE
Authorized Official Title or Position:
COUNSELOR
Authorized Official Telephone Number:
724-816-5557

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2024 www.npivalidator.com