Healthcare Provider Details

I. General information

NPI: 1053113431
Provider Name (Legal Business Name): HEAL: HYPERBARICS AND INNOVATIVE WELLNESS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

57 S MAIN ST
WATERBURY VT
05676-1557
US

IV. Provider business mailing address

40 ORCHARD LN
RICHMOND VT
05477-9299
US

V. Phone/Fax

Practice location:
  • Phone: 802-272-8094
  • Fax:
Mailing address:
  • Phone: 802-272-8094
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: SADA DUMONT
Title or Position: OWNER
Credential:
Phone: 802-272-8094