| Groundwork Healing | |
|
12 Stillwater Ave Ste 7 Bangor ME 04401-3984 | |
| (918) 344-7844 | |
| Not Available |
| Full Name | Groundwork Healing |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 12 Stillwater Ave Ste 7, Bangor, Maine |
| Authorized Official Name and Position | Brooklin Jones-banahan, Lcsw (CLINICAL DIRECTOR) |
| Authorized Official Contact | 2079410879 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Groundwork Healing 12 Stillwater Ave Ste 7 Bangor ME 04401-3984 Ph: () - | Groundwork Healing 12 Stillwater Ave Ste 7 Bangor ME 04401-3984 Ph: (918) 344-7844 |
| NPI Number | 1033964432 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 04/19/2024 |
| Certification Date | 04/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033964432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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