Provider Demographics
NPI:1528312980
Name:COMMUNITY HEALTH SERVICES OF LAMOILLE VALLEY
Entity type:Organization
Organization Name:COMMUNITY HEALTH SERVICES OF LAMOILLE VALLEY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:STUART
Authorized Official - Middle Name:
Authorized Official - Last Name:MAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:802-888-0901
Mailing Address - Street 1:218 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:VT
Mailing Address - Zip Code:05444-9810
Mailing Address - Country:US
Mailing Address - Phone:802-734-5807
Mailing Address - Fax:
Practice Address - Street 1:65 NORTHGATE PLZ
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:VT
Practice Address - Zip Code:05661-6099
Practice Address - Country:US
Practice Address - Phone:802-851-8313
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-06
Last Update Date:2020-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0073318103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty