Healthcare Provider Details

I. General information

NPI: 1992002513
Provider Name (Legal Business Name): HEATHER TOULMIN MA, MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2011
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

331 UPPER PLN
BRADFORD VT
05033-9207
US

IV. Provider business mailing address

169 PARK ROW
BRUNSWICK ME
04011-2039
US

V. Phone/Fax

Practice location:
  • Phone: 802-222-4722
  • Fax:
Mailing address:
  • Phone: 802-299-6276
  • Fax: 603-795-2917

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberCC6461
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: