Healthcare Provider Details

I. General information

NPI: 1144139551
Provider Name (Legal Business Name): LEAH CHRISTINA TETER LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28 PARK AVE STE 100
WILLISTON VT
05495-9703
US

IV. Provider business mailing address

28 PARK AVE STE 100
WILLISTON VT
05495-9703
US

V. Phone/Fax

Practice location:
  • Phone: 802-498-8123
  • Fax:
Mailing address:
  • Phone: 413-297-1817
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number097.0134901
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: