MEDICARE: TREATMENT ASSOCIATES, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	207V00000X	Obstetrics & Gynecology Physician	0420006886	VT
3	208D00000X	General Practice Physician		VT
4	101YM0800X	Mental Health Counselor	0680000494	VT
5	101YA0400X	Addiction (Substance Use Disorder) Counselor	000328	VT
6	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1508077918
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TREATMENT ASSOCIATES, INC

Provider Business Mailing Address
First Line	:	73 MAIN ST
Second Line	:	SUITE 18
City	:	MONTPELIER
State	:	VT
Zip	:	05602-2932
Country	:	US
Telephone Number	:	802-225-8355
Fax Number	:	802-225-8971

Provider Business Practice Location Address
First Line	:	73 MAIN ST
Second Line	:	SUITE 27
City	:	MONTPELIER
State	:	VT
Zip	:	05602-2932
Country	:	US
Telephone Number	:	802-225-8355
Fax Number	:	802-225-8971

Authorized Official
Title or Position	:	OWNER
Name	:	DR. JAMES S STONE
Credential	:	M.D.
Telephone Number	:	802-225-8355

Provider Enumeration Date	:	05/25/2007
Last Update Date	:	03/29/2011

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