Provider Demographics
NPI:1285498394
Name:LINDEN TREE COUNSELING PLLC
Entity type:Organization
Organization Name:LINDEN TREE COUNSELING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT/MANAGER/MEMBER/ORGANIZER
Authorized Official - Prefix:
Authorized Official - First Name:MARKUS
Authorized Official - Middle Name:
Authorized Official - Last Name:FANKHAUSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-491-3484
Mailing Address - Street 1:54 W TWIN OAKS TER STE 12
Mailing Address - Street 2:
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-7141
Mailing Address - Country:US
Mailing Address - Phone:802-491-3484
Mailing Address - Fax:
Practice Address - Street 1:54 W TWIN OAKS TER STE 12
Practice Address - Street 2:
Practice Address - City:SOUTH BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05403-7141
Practice Address - Country:US
Practice Address - Phone:802-491-3484
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-08
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty