| Organization Name: | FAMILY TREE COUNSELING ASSOCIATES, PLC |
| NPI Number: | 1134271695 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KATE VANDEN BERGH (PART OWNER) |
| Mailing Address: | 250 Main St Ste 101 Montpelier |
| State: | VT US |
| Postal Code: | 056024258 |
| Phone Number: | 8022237364 |
| Fax Number: | 8022238679 |
| NPI Enumeration Date: | 01/17/2007 |
| NPI Last Update Date: | 11/12/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 089-0000770 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |