IndividualActive
Amber Banta, LCMHC
NPI 1407563810 · Mental Health Counselor · Burlington, VT
Provider details
- NPI number
- 1407563810
- Entity type
- Individual
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Credential
- LCMHC
- Sex
- Female
- Sole proprietor
- Yes
- License
- 068.0134865 (VT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
125 Saint Paul St Ste 106
Burlington, VT 05401-8686
Phone: (802) 276-1030
Approximate (ZIP-level) locationGet directions
Mailing address
105 Depot St Unit 1034
Stowe, VT 05672-7442
Registry dates
- Enumerated
- 2022-11-04
- Last updated
- 2023-09-25
- Certified
- 2023-09-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.