| Blaney Lcpc, Llc | |
|
686 Ossipee Hill Rd Waterboro ME 04087-3481 | |
| (207) 337-0828 | |
| Not Available |
| Full Name | Blaney Lcpc, Llc |
|---|---|
| Speciality | Counselor |
| Location | 686 Ossipee Hill Rd, Waterboro, Maine |
| Authorized Official Name and Position | Parker N. Blaney (OWNER) |
| Authorized Official Contact | 2073370828 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blaney Lcpc, Llc 686 Ossipee Hill Rd Waterboro ME 04087-3481 Ph: (207) 337-0828 | Blaney Lcpc, Llc 686 Ossipee Hill Rd Waterboro ME 04087-3481 Ph: (207) 337-0828 |
| NPI Number | 1497517395 |
|---|---|
| Provider Enumeration Date | 01/25/2024 |
| Last Update Date | 01/25/2024 |
| Certification Date | 01/25/2024 |
| Medicare PECOS PAC ID | 7214377217 |
|---|---|
| Medicare Enrollment ID | O20240424001691 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497517395 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Parker N Blaney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992203301 PECOS PAC ID: 8123468121 Enrollment ID: I20240424002321 |
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