| Leeward Counseling Llc | |
|
25 Main St Suite 2 Machias ME 04654-1165 | |
| (207) 271-8105 | |
| Not Available |
| Full Name | Leeward Counseling Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 25 Main St, Machias, Maine |
| Authorized Official Name and Position | Laura Landry (OWNER) |
| Authorized Official Contact | 2072718105 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Leeward Counseling Llc 25 Main St Suite 2 Machias ME 04654-1165 Ph: (207) 271-8105 | Leeward Counseling Llc 25 Main St Suite 2 Machias ME 04654-1165 Ph: (207) 271-8105 |
| NPI Number | 1902232127 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 01/05/2015 |
| Medicare PECOS PAC ID | 5597063826 |
|---|---|
| Medicare Enrollment ID | O20160419002621 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902232127 | NPI | - | NPPES |
| 1780990705 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LC13426 (Maine) | Primary |
| Provider Name | Laura E Landry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780990705 PECOS PAC ID: 4688834112 Enrollment ID: I20120321000171 |
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