MEDICARE: HOPE GROWS

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	251S00000X	Community/Behavioral Health Agency	068.0083541	VT
2	101YM0800X	Mental Health Counselor	068.0083541	VT

General Provider Information

NPI Number	:	1538542592
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOPE GROWS

Provider Business Mailing Address
First Line	:	PO BOX 147
Second Line	:
City	:	HYDE PARK
State	:	VT
Zip	:	05655-0147
Country	:	US
Telephone Number	:	802-851-8081
Fax Number	:

Provider Business Practice Location Address
First Line	:	951 VT 15 E
Second Line	:
City	:	HYDE PARK
State	:	VT
Zip	:	05655-9319
Country	:	US
Telephone Number	:	802-851-8081
Fax Number	:

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	DEBRA HILL
Credential	:
Telephone Number	:	802-851-8081

Provider Enumeration Date	:	07/08/2015
Last Update Date	:	12/16/2015

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Directions to “HOPE GROWS ” Practice Location

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