OrganizationActive
Northeast Kingdom Trauma Intensives
NPI 1629792114 · Mental Health Clinic/Center (Including Community Mental Health Center) · St Johnsbury, VT
Provider details
- NPI number
- 1629792114
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jennifer Keith, Owner/Psychotherapist(802) 327-5902
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Practice location
293 Pearl St Ste 101
St Johnsbury, VT 05819-5641
Phone: (802) 327-5902
Approximate (ZIP-level) locationGet directions
Mailing address
751 Chesterfield Holw
Lyndonville, VT 05851-8530
Registry dates
- Enumerated
- 2022-09-28
- Last updated
- 2022-09-28
- Certified
- 2022-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.