Provider Demographics
NPI:1265803068
Name:COMFORT HEALS COUNSELING SERVICES PLC
Entity type:Organization
Organization Name:COMFORT HEALS COUNSELING SERVICES PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ COUNSELOR/ CONSULTANT
Authorized Official - Prefix:MRS
Authorized Official - First Name:GINGER
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:CLOUD
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC, LADC
Authorized Official - Phone:802-738-0679
Mailing Address - Street 1:11 MORRIS DR
Mailing Address - Street 2:
Mailing Address - City:BARRE
Mailing Address - State:VT
Mailing Address - Zip Code:05641-8693
Mailing Address - Country:US
Mailing Address - Phone:802-738-0679
Mailing Address - Fax:
Practice Address - Street 1:297 N MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:BARRE
Practice Address - State:VT
Practice Address - Zip Code:05641-4503
Practice Address - Country:US
Practice Address - Phone:802-738-0679
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-10-19
Last Update Date:2015-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT000666251S00000X
VT068.0107168251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health