Provider Demographics
NPI:1609543131
Name:A3B ACCEPTANCE BELIEVING BONDING AND BELONGING INC
Entity type:Organization
Organization Name:A3B ACCEPTANCE BELIEVING BONDING AND BELONGING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:CAROLINE
Authorized Official - Middle Name:MCGARR
Authorized Official - Last Name:BUTLER
Authorized Official - Suffix:
Authorized Official - Credentials:NP
Authorized Official - Phone:802-251-6209
Mailing Address - Street 1:PO BOX 633
Mailing Address - Street 2:
Mailing Address - City:JOHNSON
Mailing Address - State:VT
Mailing Address - Zip Code:05656-0633
Mailing Address - Country:US
Mailing Address - Phone:802-251-6209
Mailing Address - Fax:802-251-7109
Practice Address - Street 1:221 LOWER MAIN STREET W
Practice Address - Street 2:
Practice Address - City:JOHNSON
Practice Address - State:VT
Practice Address - Zip Code:05656-0565
Practice Address - Country:US
Practice Address - Phone:802-251-6209
Practice Address - Fax:802-251-7109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-24
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No207QA0401XAllopathic & Osteopathic PhysiciansFamily MedicineAddiction MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT6708525Medicaid