OrganizationCharles Corbally PllcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2 Church St Ste 3g, Burlington, VT 05401-4457(802) 281-3330PECOS EnrollmentBased on the most recent information from CMS, provider Charles Corbally Pllc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 9:43 AM.Profile DetailsProvider ID1063921740Provider TypeOrganizationFull NameCharles Corbally PllcSubpartNoEnumeration Date9/25/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address2 Church St Ste 3g, Burlington, VT 05401-4457Phone(802) 281-3330Fax(802) 540-8199Mailing LocationMailing Address2 Church St Ste 3g, Burlington, VT 05401-4457Phone(802) 281-3330FaxUnlisted FaxAuthorized OfficialNameCorbally, Charles J. (Sole Owner)Phone(802) 281-3330Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense089.0117025VermontProvider IdentifiersIDDescriptionIssuerID1028428DescriptionMedicaidIssuerUnlistedVermont