Healthcare Provider Details

I. General information

NPI: 1669001855
Provider Name (Legal Business Name): TASHA BELCHER LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2020
Last Update Date: 02/07/2022
Certification Date: 02/07/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

27 RYE CIR
SOUTH BURLINGTON VT
05403-7632
US

IV. Provider business mailing address

397 DRINKWATER RD
HINESBURG VT
05461-9392
US

V. Phone/Fax

Practice location:
  • Phone: 802-654-7607
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068.0134172
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: