Ms Sandra Graves, LCPC | |
104 Kimball Lane, Northeast Harbor, ME 04662-0841 | |
(207) 276-3744 | |
Not Available |
Full Name | Ms Sandra Graves |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 104 Kimball Lane, Northeast Harbor, Maine |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1154467157 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | CC1668 (Maine) | Primary |
Entity Name | Cornerstone Behavioral Healthcare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215102850 PECOS PAC ID: 7214097740 Enrollment ID: O20081113000616 |
Mailing Address | Practice Location Address |
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Ms Sandra Graves, LCPC Po Box 841, 104 Kimball Lane, Northeast Harbor, ME 04662-0841 Ph: (207) 276-3744 | Ms Sandra Graves, LCPC 104 Kimball Lane, Northeast Harbor, ME 04662-0841 Ph: (207) 276-3744 |
Ms. Irene Greene Murphy, LCSW,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: Kimball Road, Mt Desert Medical Center, Northeast Harbor, ME 04662 Phone: 207-460-6605 | |
Teresa Lynne King, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 9 Kimball Road, Mount Desert Medical Center, Northeast Harbor, ME 04662 Phone: 207-276-4266 Fax: 207-276-4119 |