| Colin Routh, Lcsw, Llc | |
|
399 Water St Augusta ME 04330-4691 | |
| (207) 805-4424 | |
| Not Available |
| Full Name | Colin Routh, Lcsw, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 399 Water St, Augusta, Maine |
| Authorized Official Name and Position | Colin Routh (CLINICIAN) |
| Authorized Official Contact | 2078054424 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Colin Routh, Lcsw, Llc 399 Water St Ste 3 Augusta ME 04330-4691 Ph: (207) 805-4424 | Colin Routh, Lcsw, Llc 399 Water St Augusta ME 04330-4691 Ph: (207) 805-4424 |
| NPI Number | 1972370724 |
|---|---|
| Provider Enumeration Date | 12/11/2023 |
| Last Update Date | 06/11/2024 |
| Certification Date | 06/11/2024 |
| Medicare PECOS PAC ID | 2860838166 |
|---|---|
| Medicare Enrollment ID | O20240308002455 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972370724 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Colin M Routh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194182444 PECOS PAC ID: 5294154159 Enrollment ID: I20200928001278 |
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