Healthcare Provider Details

I. General information

NPI: 1275677338
Provider Name (Legal Business Name): VERMONT ACADEMY COUNSELING DEPARTMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PLEASANT STREET
SAXTONS RIVER VT
05154
US

IV. Provider business mailing address

20 PLEASANT STREET
SAXTONS RIVER VT
05154
US

V. Phone/Fax

Practice location:
  • Phone: 802-869-6243
  • Fax:
Mailing address:
  • Phone: 802-869-6243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number
License Number StateVT

VIII. Authorized Official

Name: MR. RICHARD BERNASCO
Title or Position: CFO
Credential:
Phone: 802-869-6243