Provider Demographics
NPI:1750261335
Name:EGGSWARE, THOMAS MITCHELL II (MA)
Entity type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:MITCHELL
Last Name:EGGSWARE
Suffix:II
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 DUFFY DR
Mailing Address - Street 2:
Mailing Address - City:BENNINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05201-9585
Mailing Address - Country:US
Mailing Address - Phone:802-494-4040
Mailing Address - Fax:602-491-2119
Practice Address - Street 1:655 MAIN ST STE 5
Practice Address - Street 2:
Practice Address - City:BENNINGTON
Practice Address - State:VT
Practice Address - Zip Code:05201-2871
Practice Address - Country:US
Practice Address - Phone:802-494-4040
Practice Address - Fax:602-491-2119
Is Sole Proprietor?:No
Enumeration Date:2025-09-04
Last Update Date:2025-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT097.0135463101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health