Healthcare Provider Details

I. General information

NPI: 1790649234
Provider Name (Legal Business Name): LAMOILLE NORTH SUPERVISORY UNION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 CRICKET HILL ROAD
HYDE PARK VT
05655
US

IV. Provider business mailing address

96 CRICKET HILL ROAD
HYDE PARK VT
05655
US

V. Phone/Fax

Practice location:
  • Phone: 802-888-3142
  • Fax: 802-888-7908
Mailing address:
  • Phone: 802-888-3142
  • Fax: 802-888-7908

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251300000X
TaxonomyLocal Education Agency (LEA)
License Number
License Number State

VIII. Authorized Official

Name: JEREMY TYLER SEANNELL
Title or Position: SPECIAL ED. DIRECTOR
Credential: M.S. SPECIAL EDUCATI
Phone: 802-851-1178