Basic Information
| Provider Information | |||||||||
| NPI: | 1275575979 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | TROYEN | ||||||||
| FirstName: | CHERIE | ||||||||
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| Credential: | MS LCMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 20 HALL RD | ||||||||
| Address2: | |||||||||
| City: | SOUTH HERO | ||||||||
| State: | VT | ||||||||
| PostalCode: | 05486 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8023728808 | ||||||||
| FaxNumber: | 8026604310 | ||||||||
| Practice Location | |||||||||
| Address1: | 329 DOREST ST | ||||||||
| Address2: | |||||||||
| City: | SOUTH BURLINGTON | ||||||||
| State: | VT | ||||||||
| PostalCode: | 05403 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8026517505 | ||||||||
| FaxNumber: | 8026604310 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 0680000290 | VT | X | Behavioral Health & Social Service Providers | Counselor | Mental Health | 103TS0200X | X | Behavioral Health & Social Service Providers | Psychologist | School |
ID Information
| ID | Type | State | Issuer | Description | 61845 | 01 | VT | CIGNA | OTHER | 326508 | 01 | VT | MENTAL HEALTH NETWORK | OTHER | 39523 | 01 | VT | BCBS | OTHER | 293976 | 01 | MAGELLAN | OTHER | 61845 | 01 | VT | MVP | OTHER | 120131 | 01 | ACCESS PLUS VALUE OPTONS | OTHER | 1007044 | 05 | VT | MEDICAID |