Provider Demographics
NPI:1124819214
Name:CONFLUENCE PSYCHOTHERAPY PLC
Entity type:Organization
Organization Name:CONFLUENCE PSYCHOTHERAPY PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:LAZZARI
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:802-440-0972
Mailing Address - Street 1:PO BOX 187
Mailing Address - Street 2:
Mailing Address - City:EAST ARLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05252-0187
Mailing Address - Country:US
Mailing Address - Phone:802-440-0972
Mailing Address - Fax:
Practice Address - Street 1:114 CEMETERY AVE
Practice Address - Street 2:
Practice Address - City:MANCHESTER CENTER
Practice Address - State:VT
Practice Address - Zip Code:05255-9701
Practice Address - Country:US
Practice Address - Phone:802-440-0972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-16
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)