Healthcare Provider Details

I. General information

NPI: 1770417511
Provider Name (Legal Business Name): BATTENKILL VALLEY HEALTH CENTER TPC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2026
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 MAIN ST
BENNINGTON VT
05201-2147
US

IV. Provider business mailing address

PO BOX 61
ARLINGTON VT
05250-0061
US

V. Phone/Fax

Practice location:
  • Phone: 802-375-6566
  • Fax:
Mailing address:
  • Phone: 802-375-6566
  • Fax: 802-375-6828

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SANDRA PARKS
Title or Position: FINANCE & BILLING ASSOCIATE
Credential:
Phone: 802-440-5363