Provider Demographics
NPI:1528820321
Name:TRILLIUM HEALTHWORKS, LLC
Entity type:Organization
Organization Name:TRILLIUM HEALTHWORKS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRETTA
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:802-673-7741
Mailing Address - Street 1:370 SHERWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MONTPELIER
Mailing Address - State:VT
Mailing Address - Zip Code:05602-8113
Mailing Address - Country:US
Mailing Address - Phone:802-673-7741
Mailing Address - Fax:
Practice Address - Street 1:7 MAIN ST STE 302
Practice Address - Street 2:
Practice Address - City:MONTPELIER
Practice Address - State:VT
Practice Address - Zip Code:05602-2870
Practice Address - Country:US
Practice Address - Phone:802-673-7741
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-26
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty