Healthcare Provider Details

I. General information

NPI: 1457089351
Provider Name (Legal Business Name): BLUESKYCOUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2022
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1446 ROUNDS RD
HUNTINGTON VT
05462-9433
US

IV. Provider business mailing address

1446 ROUNDS RD
HUNTINGTON VT
05462-9433
US

V. Phone/Fax

Practice location:
  • Phone: 802-735-3630
  • Fax:
Mailing address:
  • Phone: 802-735-3630
  • 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: MRS. CAITLIN GEORGIA DENNIS-DEVRIES
Title or Position: MENTAL HEALTH THERAPIST
Credential: LCMHC
Phone: 802-277-2736