Provider Demographics
NPI:1457089351
Name:BLUESKYCOUNSELING LLC
Entity Type:Organization
Organization Name:BLUESKYCOUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH THERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAITLIN
Authorized Official - Middle Name:GEORGIA
Authorized Official - Last Name:DENNIS-DEVRIES
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:802-277-2736
Mailing Address - Street 1:1446 ROUNDS RD
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05462-9433
Mailing Address - Country:US
Mailing Address - Phone:802-735-3630
Mailing Address - Fax:
Practice Address - Street 1:1446 ROUNDS RD
Practice Address - Street 2:
Practice Address - City:HUNTINGTON
Practice Address - State:VT
Practice Address - Zip Code:05462-9433
Practice Address - Country:US
Practice Address - Phone:802-735-3630
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-10
Last Update Date:2022-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty