Healthcare Provider Details

I. General information

NPI: 1841155959
Provider Name (Legal Business Name): EMILY AIKEN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2025
Last Update Date: 12/20/2025
Certification Date: 12/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

525 HERCULES DR STE 1A
COLCHESTER VT
05446-8113
US

IV. Provider business mailing address

26 COLONIAL RD
FAIRFAX VT
05454-9573
US

V. Phone/Fax

Practice location:
  • Phone: 802-264-5333
  • Fax:
Mailing address:
  • Phone:
  • 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:
Title or Position:
Credential:
Phone: