| Elm Tree Counseling, Llc | |
|
63 Elm St Ste A Topsham ME 04086-1424 | |
| (207) 449-8520 | |
| Not Available |
| Full Name | Elm Tree Counseling, Llc |
|---|---|
| Speciality | Counselor |
| Location | 63 Elm St Ste A, Topsham, Maine |
| Authorized Official Name and Position | Sadie Fowler (OWNER) |
| Authorized Official Contact | 2074498520 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elm Tree Counseling, Llc 63 Elm St Ste A Topsham ME 04086-1424 Ph: () - | Elm Tree Counseling, Llc 63 Elm St Ste A Topsham ME 04086-1424 Ph: (207) 449-8520 |
| NPI Number | 1922602747 |
|---|---|
| Provider Enumeration Date | 11/23/2020 |
| Last Update Date | 09/17/2021 |
| Certification Date | 09/17/2021 |
| Medicare PECOS PAC ID | 5698184489 |
|---|---|
| Medicare Enrollment ID | O20210507000153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922602747 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Sadie S Fowler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245517366 PECOS PAC ID: 0042444556 Enrollment ID: I20131015001953 |
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