Provider Demographics
NPI:1073910105
Name:NORTHERN LIGHTS COUNSELING
Entity Type:Organization
Organization Name:NORTHERN LIGHTS COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:LIBROT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-252-2235
Mailing Address - Street 1:80 NORFORD LAKE RD
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:VT
Mailing Address - Zip Code:05055-9657
Mailing Address - Country:US
Mailing Address - Phone:603-252-2235
Mailing Address - Fax:
Practice Address - Street 1:24 OPERA HOUSE SQ
Practice Address - Street 2:BOX 18
Practice Address - City:CLAREMONT
Practice Address - State:NH
Practice Address - Zip Code:03743-5408
Practice Address - Country:US
Practice Address - Phone:603-252-2235
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-04
Last Update Date:2014-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH933101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty