Healthcare Provider Details

I. General information

NPI: 1497693378
Provider Name (Legal Business Name): LAMOILLE COUNTY MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2026
Last Update Date: 03/25/2026
Certification Date: 03/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

72 HARREL ST
MORRISVILLE VT
05661-8526
US

IV. Provider business mailing address

72 HARREL ST
MORRISVILLE VT
05661-8526
US

V. Phone/Fax

Practice location:
  • Phone: 802-888-5026
  • Fax:
Mailing address:
  • Phone: 802-888-5026
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: KATIE M CYR
Title or Position: BILLING MANAGER
Credential:
Phone: 802-393-6412