Provider Demographics
NPI:1568965002
Name:MORELLI, BETH (LCMHC)
Entity Type:Individual
Prefix:
First Name:BETH
Middle Name:
Last Name:MORELLI
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:
Other - Last Name:CANTY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:373 BLAIR PARK RD UNIT 206
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495-8056
Mailing Address - Country:US
Mailing Address - Phone:802-242-0623
Mailing Address - Fax:
Practice Address - Street 1:373 BLAIR PARK RD UNIT 206
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495-8056
Practice Address - Country:US
Practice Address - Phone:802-242-0623
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT151-0125187101YA0400X
VT068-0129574101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)