Healthcare Provider Details

I. General information

NPI: 1124825799
Provider Name (Legal Business Name): DAWN CHORUS PSYCHOTHERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2025
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

351 N CALAIS RD
EAST CALAIS VT
05650-8063
US

IV. Provider business mailing address

480 CLIF REYNOLDS RD
JEFFERSONVILLE VT
05464-9474
US

V. Phone/Fax

Practice location:
  • Phone: 845-392-5510
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number StateNULL

VIII. Authorized Official

Name: STEVEN LILLY
Title or Position: OWNER
Credential: LCMHC
Phone: 845-392-5510