1871393108 NPI number — NEW STROKES COUNSELING, PLC

Table of content: (NPI 1871393108)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871393108 NPI number — NEW STROKES COUNSELING, PLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEW STROKES COUNSELING, PLC
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:
1871393108
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/22/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 232
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RANDOLPH
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05060-0232
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-565-1833
Provider Business Mailing Address Fax Number:
802-990-2739

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
145 PINE HAVEN SHORES
Provider Second Line Business Practice Location Address:
SUITE 1000-A
Provider Business Practice Location Address City Name:
SHELBURNE
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05482-7812
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-565-1833
Provider Business Practice Location Address Fax Number:
802-990-2739
Provider Enumeration Date:
03/17/2025

Additional Information

Authorized Official

Authorized Official Last Name:
BATES
Authorized Official First Name:
CLAIRE
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER, SOCIAL WORKER
Authorized Official Telephone Number:
802-565-1833

Provider Taxonomy Codes

  • Taxonomy code: 261QM0801X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 6719297 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".




Copyright © 2007-2025 www.npivalidator.com