Provider Demographics
NPI:1477322550
Name:RAYA NOREAULT LCMHC PLC
Entity Type:Organization
Organization Name:RAYA NOREAULT LCMHC PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:RAYA
Authorized Official - Middle Name:
Authorized Official - Last Name:NOREAULT
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:845-633-1047
Mailing Address - Street 1:1015 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-7658
Mailing Address - Country:US
Mailing Address - Phone:845-633-1047
Mailing Address - Fax:
Practice Address - Street 1:4185 ST GEORGE RD
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-7695
Practice Address - Country:US
Practice Address - Phone:802-448-4317
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-29
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)