| Able Oak Mental Health, Llc | |
|
469 Main St Ste 201 Springvale ME 04083-1870 | |
| (207) 850-1082 | |
| (888) 681-5805 |
| Full Name | Able Oak Mental Health, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 469 Main St Ste 201, Springvale, Maine |
| Authorized Official Name and Position | Jillian Marie Deruscio Belleard (OWNER) |
| Authorized Official Contact | 5183685455 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Able Oak Mental Health, Llc 8 Howard St Springvale ME 04083-1919 Ph: (518) 368-5455 | Able Oak Mental Health, Llc 469 Main St Ste 201 Springvale ME 04083-1870 Ph: (207) 850-1082 |
| NPI Number | 1083480487 |
|---|---|
| Provider Enumeration Date | 11/28/2023 |
| Last Update Date | 11/28/2023 |
| Certification Date | 11/28/2023 |
| Medicare PECOS PAC ID | 3476997321 |
|---|---|
| Medicare Enrollment ID | O20240219002319 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083480487 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Jillian Marie Deruscio Belleard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912350018 PECOS PAC ID: 4385088236 Enrollment ID: I20240219002494 |
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