Healthcare Provider Details
I. General information
NPI: 1336062744
Provider Name (Legal Business Name): TEMPERANCE NEW ENGLAND LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
459 CAMPBELL ST
WHITE RIVER JUNCTION VT
05001-9109
US
IV. Provider business mailing address
459 CAMPBELL ST
WHITE RIVER JUNCTION VT
05001-9109
US
V. Phone/Fax
- Phone: 603-443-0626
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
OLIVIA
OONA
HENRY-CORELL
Title or Position: OWNER
Credential: LMSW
Phone: 603-443-0626