Provider Demographics
NPI:1265264980
Name:HABERMAN LLC
Entity type:Organization
Organization Name:HABERMAN LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MILCAH
Authorized Official - Middle Name:
Authorized Official - Last Name:HARARI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-391-9525
Mailing Address - Street 1:26 EDGEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05401-4031
Mailing Address - Country:US
Mailing Address - Phone:802-391-9525
Mailing Address - Fax:
Practice Address - Street 1:26 EDGEWOOD LN
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-4031
Practice Address - Country:US
Practice Address - Phone:802-391-9525
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty