| Organization Name: | SKY TURTLE, INC |
| NPI Number: | 1053782953 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KENDRA SCHPOK (VICE-PRESIDENT) |
| Mailing Address: | 11 Main St Suite B105 Vergennes |
| State: | VT US |
| Postal Code: | 054911123 |
| Phone Number: | 8027356550 |
| Fax Number: | |
| NPI Enumeration Date: | 10/18/2015 |
| NPI Last Update Date: | 10/18/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 068.0091651 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |