DEMETRA S HAZATONES (NPI# 1083907281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083907281 |
| Entity Type | Individual |
| Full Name | DEMETRA S HAZATONES |
| Credential | LADC, LCMHC |
| Practice Address |
1483 Lower Plain Bradford VT 05033 |
| Mailing Address |
Po Box G Randolph VT 05060-0167 |
| Practice Telephone | 8022224477 |
| Practice Fax Number | 8022223242 |
| Mailing Telephone | 8027284466 |
| Mailing Fax Number | 8027284197 |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2018-10-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
000538 | VT | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
068.0122237 | VT | Behavioral Health & Social Service Providers |
| Street Address |
1483 LOWER PLAIN |
| City | BRADFORD |
| State | VT |
| Zip Code | 05033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306215371 | Lynn Irwin | Psychoanalyst | 331 Upper Plain (u.s Route 5), Bradford Medical Center, Bradford, VT 05033 | 2015-09-21 |
| 1841319043 | Douglas Marr Speck | Psychologist | 540 Route 5 South, Bradford, VT 05033 | 2007-03-28 |
| 1649353731 | Jessie Reynolds | Family Medicine | 437 South Main Street, Bradford, VT 05033 | 2006-10-23 |
| 1912087867 | Lisa K Jensen | Midwife | 331 Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| 1134209083 | Nancy Ryan Foote | Nurse Practitioner | 331 Upper Plain Suite 1, Upper Plain, Bradford, VT 05033 | 2006-10-16 |
| 1073607644 | Lora Oakes Chatfield | Advanced Practice Midwife | 23 Upper Plain, Bradford, VT 05033 | 2006-10-03 |
| 1851407118 | Margarethe M Chobanian | Pediatrics | 437 South Main St, Bradford, VT 05033 | 2006-08-21 |
| 1225401219 | Travis Ryan Gross | Pharmacist | 901 Lower Pln, Bradford, VT 05033 | 2015-11-12 |
| 1396115218 | Bonnie W. Irwin | Psychoanalyst | 331 Upper Plain, Bradford Medical Center, Bradford, VT 05033 | 2015-10-05 |
| 1679858690 | Pamela Sue Ashton | Counselor | 131 Main St., 2nd Fl Suite3, Bradford, VT 05033 | 2011-10-21 |
| Find all providers in zip 05033 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821511528 | Hilary Glynn | Counselor | 11 Sterling Ln, Bradford, MA 01835-8402 | 2017-07-25 |
| 1881952075 | Danielle J Van Dusen | Counselor | 2554 New Hampshire Route 103, Bradford, NH 03221 | 2012-04-25 |
| 1073891966 | Kenneth J. Anthony | Counselor | 21 Haseltine St, Bradford, MA 01835-7707 | 2011-07-27 |
| 1245325653 | Mary M Crockett | Counselor | 42 South Park Street, Bradford, MA 01835 | 2006-10-03 |
| 1174614549 | Adagio Health Inc. | Counselor | 70 1/2 Mechanic St, Bradford, PA 16701-1242 | 2006-09-28 |
| 1033721683 | Alan Jason Gelfant | Counselor | 1483 Lower Pln, Bradford, VT 05033-8921 | 2020-08-17 |
| 1841816626 | Through It Counseling Services | Counselor | 11 Sterling Ln, Bradford, MA 01835-8402 | 2020-06-17 |
| 1700352762 | Amanda M Regis | Counselor | 437 S Main St, Bradford, VT 05033-9196 | 2018-10-17 |
| 1194208223 | Denise A Seagren Peterson | Counselor | 110 Campus Dr, Bradford, PA 16701-1982 | 2018-09-14 |
| 1861912727 | Peter M Butterfield | Counselor | 1740 Lower Pln, Bradford, VT 05033-8934 | 2017-06-22 |
| Find all providers in BRADFORD | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.