Healthcare Provider Details

I. General information

NPI: 1609543131
Provider Name (Legal Business Name): A3B ACCEPTANCE BELIEVING BONDING AND BELONGING INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2021
Last Update Date: 02/01/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 LOWER MAIN STREET W
JOHNSON VT
05656-0565
US

IV. Provider business mailing address

PO BOX 633
JOHNSON VT
05656-0633
US

V. Phone/Fax

Practice location:
  • Phone: 802-251-6209
  • Fax: 802-251-7109
Mailing address:
  • Phone: 802-251-6209
  • Fax: 802-251-7109

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207QA0401X
TaxonomyAddiction Medicine (Family Medicine) Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE MCGARR BUTLER
Title or Position: FOUNDER
Credential: NP
Phone: 802-251-6209