Healthcare Provider Details

I. General information

NPI: 1083432934
Provider Name (Legal Business Name): AMBER R. THOMAS MS, CADC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AMBER R. SEARS

II. Dates (important events)

Enumeration Date: 09/30/2024
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

73 MAIN ST
MONTPELIER VT
05602-2932
US

IV. Provider business mailing address

PO BOX 647
MONTPELIER VT
05601-0647
US

V. Phone/Fax

Practice location:
  • Phone: 802-225-8355
  • Fax: 802-223-8105
Mailing address:
  • Phone: 802-225-8355
  • Fax: 802-223-8105

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number097.0134656
License Number StateVT
# 2
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number150.0133052
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: