| NPI | 1124250352 |
|---|---|
| Doing Business As | MIND AND SOUL |
| Entity Type | Organization |
| Authorized Contact | WENDY ANN SERGEANT President 802-435-0616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Additional Taxonomies | 103TP0016X Psychologist, Prescribing (Medical) |
| 261QH0100X Clinic/Center, Health Services (Licence: MA 273780) | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2022-08-23 |