Provider Demographics
NPI:1528777059
Name:ROWAN COUNSELING LLC
Entity type:Organization
Organization Name:ROWAN COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LCMHC
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANY
Authorized Official - Middle Name:
Authorized Official - Last Name:CHURCHILL
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCMHC
Authorized Official - Phone:802-546-2626
Mailing Address - Street 1:PO BOX 365
Mailing Address - Street 2:
Mailing Address - City:HARTFORD
Mailing Address - State:VT
Mailing Address - Zip Code:05047-0365
Mailing Address - Country:US
Mailing Address - Phone:802-546-2626
Mailing Address - Fax:
Practice Address - Street 1:222 HOLIDAY DR STE 23
Practice Address - Street 2:
Practice Address - City:WHITE RIVER JUNCTION
Practice Address - State:VT
Practice Address - Zip Code:05001-2098
Practice Address - Country:US
Practice Address - Phone:802-546-2626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-23
Last Update Date:2022-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health