Provider Demographics
NPI:1386182095
Name:TIM HASH, MSW
Entity Type:Organization
Organization Name:TIM HASH, MSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:J.
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:HASH
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:802-473-6753
Mailing Address - Street 1:PO BOX 111
Mailing Address - Street 2:
Mailing Address - City:LYNDONVILLE
Mailing Address - State:VT
Mailing Address - Zip Code:05851-0111
Mailing Address - Country:US
Mailing Address - Phone:802-473-6753
Mailing Address - Fax:
Practice Address - Street 1:18 TULIP STREET
Practice Address - Street 2:
Practice Address - City:LYNDONVILLE
Practice Address - State:VT
Practice Address - Zip Code:05851-1111
Practice Address - Country:US
Practice Address - Phone:802-473-6753
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-02
Last Update Date:2017-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0122711101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty