Healthcare Provider Details

I. General information

NPI: 1497141063
Provider Name (Legal Business Name): INNER SAGE COUNSELING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/10/2015
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 LANDMARK HILL DR STE 101
BRATTLEBORO VT
05301-9106
US

IV. Provider business mailing address

70 LANDMARK HILL DR STE 101
BRATTLEBORO VT
05301-9106
US

V. Phone/Fax

Practice location:
  • Phone: 802-416-1619
  • Fax: 802-332-3082
Mailing address:
  • Phone: 802-416-1619
  • Fax: 802-332-3082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0890101573
License Number StateVT

VIII. Authorized Official

Name: BILLIE JO HAGEN
Title or Position: OWNER
Credential: LICSW
Phone: 802-416-1619