Healthcare Provider Details

I. General information

NPI: 1699681759
Provider Name (Legal Business Name): THE HIVE: CLINICAL CONSULTATION AND SUPERVISION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4995 SILVER ST
HINESBURG VT
05461-9487
US

IV. Provider business mailing address

4995 SILVER ST
HINESBURG VT
05461-9487
US

V. Phone/Fax

Practice location:
  • Phone: 802-238-0849
  • Fax:
Mailing address:
  • Phone: 802-238-0849
  • 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: CORRINE ELIZABETH MERTZ
Title or Position: LICENSED CLINICAL SOCIAL WORKER
Credential: LICSW
Phone: 802-238-0849