Healthcare Provider Details

I. General information

NPI: 1932032182
Provider Name (Legal Business Name): HER SECOND ACT COUNSELING SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2026
Last Update Date: 06/12/2026
Certification Date: 06/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

60 WINDY VALLEY RD
BRIDPORT VT
05734-9641
US

IV. Provider business mailing address

PO BOX 288
MIDDLEBURY VT
05753-0288
US

V. Phone/Fax

Practice location:
  • Phone: 802-771-4024
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LAURA ETHIER
Title or Position: OWNER
Credential: LICSW, LADC
Phone: 802-265-0424