Healthcare Provider Details
I. General information
NPI: 1730008442
Provider Name (Legal Business Name): WATER & STONE WELLNESS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/15/2026
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20 KIMBALL AVE
SOUTH BURLINGTON VT
05403-6840
US
IV. Provider business mailing address
36 BARRETT ST
SOUTH BURLINGTON VT
05403-6328
US
V. Phone/Fax
- Phone: 802-585-3011
- Fax:
- Phone: 802-585-3011
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MS.
SARAH
STRONG
MILLER
Title or Position: OWNER/OPERATOR
Credential: MS, M ED, LCMHC
Phone: 802-585-3011