| Interbloom Therapy Center | |
|
95 India St Ste 3 Portland ME 04101-4250 | |
| (516) 710-6308 | |
| Not Available |
| Full Name | Interbloom Therapy Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 95 India St Ste 3, Portland, Maine |
| Authorized Official Name and Position | Raquel Rossi (THERAPIST) |
| Authorized Official Contact | 5167106308 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Interbloom Therapy Center 56 Cross Hill Rd Cape Elizabeth ME 04107-5116 Ph: () - | Interbloom Therapy Center 95 India St Ste 3 Portland ME 04101-4250 Ph: (516) 710-6308 |
| NPI Number | 1699467738 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699467738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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