| Borealis Mental Health Services Llc | |
|
61 Main St Ste 60 Bangor ME 04401-6469 | |
| (207) 922-2158 | |
| Not Available |
| Full Name | Borealis Mental Health Services Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 61 Main St Ste 60, Bangor, Maine |
| Authorized Official Name and Position | Tristan Greenlaw (OWNER AND THERAPIST) |
| Authorized Official Contact | 2079227572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Borealis Mental Health Services Llc 61 Main St Ste 60 Bangor ME 04401-6469 Ph: (207) 922-2158 | Borealis Mental Health Services Llc 61 Main St Ste 60 Bangor ME 04401-6469 Ph: (207) 922-2158 |
| NPI Number | 1598529125 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 02/13/2024 |
| Certification Date | 02/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598529125 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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