Lacey Marie Graffam, MS, LCPC | |
63 Ocean St Unit B, South Portland, ME 04106-2828 | |
(207) 432-4007 | |
(207) 774-9299 |
Full Name | Lacey Marie Graffam |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 63 Ocean St Unit B, South Portland, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710494315 | NPI | - | NPPES |
1710494315 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | CC6373 (Maine) | Primary |
Entity Name | Health Affiliates Maine, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
Mailing Address | Practice Location Address |
---|---|
Lacey Marie Graffam, MS, LCPC 175 Deer Crossing Rd, Limerick, ME 04048-3418 Ph: (207) 432-4007 | Lacey Marie Graffam, MS, LCPC 63 Ocean St Unit B, South Portland, ME 04106-2828 Ph: (207) 432-4007 |
Kristen Cianelli, Counselor Medicare: Medicare Enrolled Practice Location: 525 Main St, South Portland, ME 04106 Phone: 207-874-1045 Fax: 207-767-0995 | |
Mrs. Mary Beach, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Lydia Ln, South Portland, ME 04106 Phone: 207-874-1175 | |
Jon Muench, LMSW,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 Main St, South Portland, ME 04106 Phone: 207-874-1045 Fax: 207-767-0995 | |
June Coravos, LCPC,LADC,CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 Main St, South Portland, ME 04106 Phone: 207-874-1045 Fax: 207-767-0995 | |
Sarah Hartford, LCSW, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 68 George Street, South Portland, ME 04106 Phone: 603-486-6077 | |
Ms. Janice L Kienzle, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 884 Broadway Ste 13, South Portland, ME 04106 Phone: 207-747-8242 | |
Julie Wyona Vecchio, CCS, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Western Ave, South Portland, ME 04106 Phone: 207-774-7111 Fax: 207-775-1985 |