Healthcare Provider Details

I. General information

NPI: 1992659619
Provider Name (Legal Business Name): BLUE SKIES THERAPY, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/21/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 MILLET ST STE 203
RICHMOND VT
05477-9623
US

IV. Provider business mailing address

65 MILLET ST STE 203
RICHMOND VT
05477-9623
US

V. Phone/Fax

Practice location:
  • Phone: 845-750-1643
  • Fax:
Mailing address:
  • Phone: 845-750-1643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE E REED
Title or Position: SOCIAL WORKER
Credential:
Phone: 845-750-1643