| Blue Ridge Counseling Center, P.a. | |
|
32 Main St Livermore Falls ME 04254-1244 | |
| (207) 645-9770 | |
| (207) 897-9000 |
| Full Name | Blue Ridge Counseling Center, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 32 Main St, Livermore Falls, Maine |
| Authorized Official Name and Position | Sharon R Neil (PRESIDENT) |
| Authorized Official Contact | 2076459770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Counseling Center, P.a. 32 Main St Livermore Falls ME 04254-1244 Ph: (207) 645-9770 | Blue Ridge Counseling Center, P.a. 32 Main St Livermore Falls ME 04254-1244 Ph: (207) 645-9770 |
| NPI Number | 1861805806 |
|---|---|
| Provider Enumeration Date | 06/07/2014 |
| Last Update Date | 02/17/2015 |
| Medicare PECOS PAC ID | 7810264363 |
|---|---|
| Medicare Enrollment ID | O20170605000765 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861805806 | NPI | - | NPPES |
| Provider Name | Mary E Small |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770594681 PECOS PAC ID: 6103868716 Enrollment ID: I20050524000966 |
| Provider Name | Sharon R Neil |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356352272 PECOS PAC ID: 5890843478 Enrollment ID: I20090702000356 |
| Provider Name | Jacob Valeri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003326919 PECOS PAC ID: 0143751073 Enrollment ID: I20241003000185 |
Lifeline For Me, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 Main St, Livermore Falls, ME 04254 Phone: 207-320-3305 Fax: 207-645-2372 |