Ms Mary-atala Lessard, LCSW | |
222 St. John St., Suite 16, Portland, ME 04102 | |
(207) 873-2136 | |
(207) 872-4522 |
Full Name | Ms Mary-atala Lessard |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 222 St. John St., 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 |
---|---|---|---|
1649463860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LC3751 (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 |
---|---|
Ms Mary-atala Lessard, LCSW 147 Allen Ave., #20, Portland, ME 04103 Ph: (207) 749-3829 | Ms Mary-atala Lessard, LCSW 222 St. John St., Suite 16, Portland, ME 04102 Ph: (207) 873-2136 |
Maria A Moustrouphis, LCSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 Vermont Ave, Portland, ME 04103 Phone: 207-409-9487 | |
Katherine P Whittemore, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1050 Forest Ave, Portland, ME 04103 Phone: 207-242-0443 | |
Scott W. Hutcherson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Lancaster St, Portland, ME 04101 Phone: 207-874-1030 Fax: 207-874-1044 | |
Emily-anne Garland, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 576 Saint John St, Portland, ME 04102 Phone: 207-780-0020 Fax: 207-780-0022 | |
Michael H Freeman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Anderson St, Portland, ME 04101 Phone: 207-775-5671 Fax: 207-871-1243 | |
David R Arnold, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Exchange St, Portland, ME 04101 Phone: 207-209-5067 | |
Rani Wilson, LCPC-CC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Washington Ave Ste 100, Portland, ME 04103 Phone: 207-871-1200 Fax: 207-871-1232 |