| And Breathe,llc | |
|
47 Portland St 2nd Fl. Portland ME 04101-3188 | |
| (207) 274-9639 | |
| Not Available |
| Full Name | And Breathe,llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 47 Portland St, Portland, Maine |
| Authorized Official Name and Position | Shannyn Vicente (OWNER) |
| Authorized Official Contact | 2072749639 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| And Breathe,llc 95 Parker St Newburyport MA 01950-4033 Ph: () - | And Breathe,llc 47 Portland St 2nd Fl. Portland ME 04101-3188 Ph: (207) 274-9639 |
| NPI Number | 1275892689 |
|---|---|
| Provider Enumeration Date | 05/07/2012 |
| Last Update Date | 04/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275892689 | NPI | - | NPPES |
| 1962761361 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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