Provider Demographics
NPI:1508146481
Name:FLINT, L FERRIS (LMFT)
Entity Type:Individual
Prefix:
First Name:L
Middle Name:FERRIS
Last Name:FLINT
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 BILLINGS FARM RD BLDG 2
Mailing Address - Street 2:SUITE E4
Mailing Address - City:WHITE RIVER JUNCTION
Mailing Address - State:VT
Mailing Address - Zip Code:05001-5400
Mailing Address - Country:US
Mailing Address - Phone:802-249-2144
Mailing Address - Fax:
Practice Address - Street 1:205 BILLINGS FARM RD
Practice Address - Street 2:BLDG 2 SUITE E4
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-5401
Practice Address - Country:US
Practice Address - Phone:802-249-2144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-23
Last Update Date:2013-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT100.0057963106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1019840Medicaid