Provider Demographics
NPI:1013728237
Name:LEFF, LORI JILL (LCMHC)
Entity type:Individual
Prefix:
First Name:LORI
Middle Name:JILL
Last Name:LEFF
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4606 NOYESTAR RD
Mailing Address - Street 2:
Mailing Address - City:EAST HARDWICK
Mailing Address - State:VT
Mailing Address - Zip Code:05836-9823
Mailing Address - Country:US
Mailing Address - Phone:802-535-0822
Mailing Address - Fax:
Practice Address - Street 1:4 S MAIN ST STE 12
Practice Address - Street 2:
Practice Address - City:HARDWICK
Practice Address - State:VT
Practice Address - Zip Code:05843-7070
Practice Address - Country:US
Practice Address - Phone:802-535-0822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0136321101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health