| Farside Counseling, Llc | |
|
443 Western Ave # 1034 South Portland ME 04106-1726 | |
| (207) 807-7190 | |
| Not Available |
| Full Name | Farside Counseling, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 443 Western Ave # 1034, South Portland, Maine |
| Authorized Official Name and Position | Amanda Morais (OWNER) |
| Authorized Official Contact | 2078077190 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Farside Counseling, Llc 443 Western Ave # 1034 South Portland ME 04106-1726 Ph: () - | Farside Counseling, Llc 443 Western Ave # 1034 South Portland ME 04106-1726 Ph: (207) 807-7190 |
| NPI Number | 1194551093 |
|---|---|
| Provider Enumeration Date | 09/09/2024 |
| Last Update Date | 09/09/2024 |
| Certification Date | 09/09/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194551093 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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