Provider Demographics
NPI:1134506504
Name:NEK COUNSELING AND CONSULTATION
Entity type:Organization
Organization Name:NEK COUNSELING AND CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:A
Authorized Official - Last Name:BOWEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:802-673-4907
Mailing Address - Street 1:3212 US ROUTE 5
Mailing Address - Street 2:
Mailing Address - City:DERBY
Mailing Address - State:VT
Mailing Address - Zip Code:05829-9677
Mailing Address - Country:US
Mailing Address - Phone:802-673-4907
Mailing Address - Fax:802-766-2275
Practice Address - Street 1:3212 US ROUTE 5
Practice Address - Street 2:
Practice Address - City:DERBY
Practice Address - State:VT
Practice Address - Zip Code:05829-9677
Practice Address - Country:US
Practice Address - Phone:802-673-4907
Practice Address - Fax:802-766-2275
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-05
Last Update Date:2015-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT000023101YA0400X
VT038.0057723101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty