Provider Demographics
NPI:1750768420
Name:THE VILLAGE COUNSEL, PLLC
Entity type:Organization
Organization Name:THE VILLAGE COUNSEL, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:DOPPLER-BOURASSA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:603-512-1218
Mailing Address - Street 1:130 CENTRAL AVE
Mailing Address - Street 2:UNIT #203
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-4042
Mailing Address - Country:US
Mailing Address - Phone:603-512-1218
Mailing Address - Fax:
Practice Address - Street 1:130 CENTRAL AVE
Practice Address - Street 2:UNIT #203
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4042
Practice Address - Country:US
Practice Address - Phone:603-512-1218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-01
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1152103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty