Provider Demographics
NPI:1518369990
Name:CALM REFLECTIONS PSYCHOTHERAPY, LLC
Entity Type:Organization
Organization Name:CALM REFLECTIONS PSYCHOTHERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:EG
Authorized Official - Last Name:PAINE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:802-393-3382
Mailing Address - Street 1:194 SWEET RD
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:VT
Mailing Address - Zip Code:05444-9805
Mailing Address - Country:US
Mailing Address - Phone:802-393-3382
Mailing Address - Fax:802-782-8553
Practice Address - Street 1:248 N MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:SAINT ALBANS
Practice Address - State:VT
Practice Address - Zip Code:05478-1554
Practice Address - Country:US
Practice Address - Phone:802-393-3382
Practice Address - Fax:802-782-8553
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-17
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT08900011911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty