Healthcare Provider Details

I. General information

NPI: 1194654566
Provider Name (Legal Business Name): DEINA K. OLSTAD COUNSELING & PSYCHOTHERAPY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/13/2026
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 SCHOOL ST STE 203-3
BRISTOL VT
05443-1240
US

IV. Provider business mailing address

296 W HILL RD
LINCOLN VT
05443-9706
US

V. Phone/Fax

Practice location:
  • Phone: 802-234-1256
  • Fax:
Mailing address:
  • Phone: 802-234-1256
  • Fax:

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: DEINA K OLSTAD
Title or Position: OWNER
Credential: LCMHC
Phone: 802-234-1256