Provider Demographics
NPI:1730824277
Name:FESTINA LENTE, PLLC
Entity type:Organization
Organization Name:FESTINA LENTE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANN
Authorized Official - Middle Name:
Authorized Official - Last Name:KRAYBILL
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:802-779-2133
Mailing Address - Street 1:PO BOX 437
Mailing Address - Street 2:
Mailing Address - City:NORWICH
Mailing Address - State:VT
Mailing Address - Zip Code:05055-0437
Mailing Address - Country:US
Mailing Address - Phone:802-779-2133
Mailing Address - Fax:
Practice Address - Street 1:289 MAIN ST UNIT B217
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:VT
Practice Address - Zip Code:05055-9354
Practice Address - Country:US
Practice Address - Phone:802-779-2133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-04-29
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
1013032242OtherNPPES