Healthcare Provider Details

I. General information

NPI: 1760344568
Provider Name (Legal Business Name): EMILY ECKEL LCMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/01/2025
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3649 LOWER NEWTON RD
SWANTON VT
05488-8531
US

IV. Provider business mailing address

21 FOX RUN LN
MILTON VT
05468-4150
US

V. Phone/Fax

Practice location:
  • Phone: 802-527-4382
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068.0136908
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: