Provider Demographics
NPI:1871110940
Name:HOPE AND RESILIENCE THERAPY, LLC
Entity type:Organization
Organization Name:HOPE AND RESILIENCE THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICSW
Authorized Official - Prefix:
Authorized Official - First Name:SHAINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LUSSIER
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:802-752-5976
Mailing Address - Street 1:PO BOX 461
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:VT
Mailing Address - Zip Code:05468-0461
Mailing Address - Country:US
Mailing Address - Phone:802-752-5976
Mailing Address - Fax:
Practice Address - Street 1:12 RIVER ST UNIT 103
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:VT
Practice Address - Zip Code:05468-3628
Practice Address - Country:US
Practice Address - Phone:802-752-5976
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-06
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty