| Coastal Maine Psychotherapy Services, Llc | |
|
4 Fundy Rd Ste 104 Falmouth ME 04105-1764 | |
| (207) 233-7782 | |
| Not Available |
| Full Name | Coastal Maine Psychotherapy Services, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4 Fundy Rd Ste 104, Falmouth, Maine |
| Authorized Official Name and Position | Sarah Anne White (OWNER/LCSW) |
| Authorized Official Contact | 2072337782 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coastal Maine Psychotherapy Services, Llc 4 Fundy Rd Ste 104 Falmouth ME 04105-1764 Ph: () - | Coastal Maine Psychotherapy Services, Llc 4 Fundy Rd Ste 104 Falmouth ME 04105-1764 Ph: (207) 233-7782 |
| NPI Number | 1659008100 |
|---|---|
| Provider Enumeration Date | 08/04/2022 |
| Last Update Date | 08/04/2022 |
| Certification Date | 08/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659008100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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Ellen Jackson, Lcsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3 Fundy Road, Suite Two, Falmouth, ME 04105 Phone: 207-780-9966 Fax: 207-780-9966 |