Healthcare Provider Details

I. General information

NPI: 1245146703
Provider Name (Legal Business Name): TEA IN THE GARDEN COUNSELING LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47 GREENBROOK CIR
MILTON VT
05468-3159
US

IV. Provider business mailing address

145 PINE HAVEN SHORES RD STE 1000A
SHELBURNE VT
05482-7812
US

V. Phone/Fax

Practice location:
  • Phone: 802-825-2672
  • Fax:
Mailing address:
  • Phone: 802-825-2672
  • 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: BETHANY DALTON
Title or Position: LICENSED MENTAL HEALTH COUNSELOR
Credential: LCMHC, NCC, CRC
Phone: 802-825-2672