Provider Demographics
NPI:1710399662
Name:NE KURN HATTIN HOMES
Entity Type:Organization
Organization Name:NE KURN HATTIN HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF COUNSELING
Authorized Official - Prefix:MS
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:M
Authorized Official - Last Name:DANFORTH
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:802-722-6915
Mailing Address - Street 1:PO BOX 127
Mailing Address - Street 2:708 KURN HATTIN RD
Mailing Address - City:WESTMINSTER
Mailing Address - State:VT
Mailing Address - Zip Code:05158-0000
Mailing Address - Country:US
Mailing Address - Phone:802-722-3336
Mailing Address - Fax:802-722-3174
Practice Address - Street 1:708 KURN HATTIN RD
Practice Address - Street 2:KURN HATTIN HOMES
Practice Address - City:WESTMINSTER
Practice Address - State:VT
Practice Address - Zip Code:05158-0000
Practice Address - Country:US
Practice Address - Phone:802-722-3336
Practice Address - Fax:802-722-3174
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-27
Last Update Date:2014-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0680000673101YM0800X
MA8406101YM0800X
VT08900010961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty