Provider Demographics
NPI:1013251909
Name:CAREY, DONNAMARIE (LADC LCMHC)
Entity type:Individual
Prefix:
First Name:DONNAMARIE
Middle Name:
Last Name:CAREY
Suffix:
Gender:F
Credentials:LADC LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:150 DORSET ST STE 245-225
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6256
Mailing Address - Country:US
Mailing Address - Phone:802-224-6322
Mailing Address - Fax:855-864-6612
Practice Address - Street 1:150 DORSET ST STE 245-225
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-6256
Practice Address - Country:US
Practice Address - Phone:802-224-6322
Practice Address - Fax:855-864-6612
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-16
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0068222101YM0800X
VT151.0125705101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1021391Medicaid