Provider Demographics
NPI:1427398262
Name:HEALTHY MINDS: COUNSELING, CONSULTATION & EDUCATION
Entity Type:Organization
Organization Name:HEALTHY MINDS: COUNSELING, CONSULTATION & EDUCATION
Other - Org Name:TAMMIE A CONSEJO
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNSELOR/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:TAMMIE
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:CONSEJO
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, PHD
Authorized Official - Phone:802-524-0305
Mailing Address - Street 1:319 S MAIN ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SAINT ALBANS
Mailing Address - State:VT
Mailing Address - Zip Code:05478-6214
Mailing Address - Country:US
Mailing Address - Phone:802-524-0305
Mailing Address - Fax:802-528-8934
Practice Address - Street 1:319 S MAIN ST
Practice Address - Street 2:SUITE 3
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-6214
Practice Address - Country:US
Practice Address - Phone:802-524-0305
Practice Address - Fax:802-528-8934
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-14
Last Update Date:2013-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0000562101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty