Healthcare Provider Details

I. General information

NPI: 1306540695
Provider Name (Legal Business Name): HEATHER LANDER MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 SCHOOL STREET EXT STE 206
BELLOWS FALLS VT
05101-1478
US

IV. Provider business mailing address

29 WATER ST APT 114
CLAREMONT NH
03743-3243
US

V. Phone/Fax

Practice location:
  • Phone: 802-490-5801
  • Fax:
Mailing address:
  • Phone: 781-424-0883
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068.0137295
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: