Life, Elevated Llc | |
331 Pine St Lewiston ME 04240-6308 | |
(207) 694-9043 | |
Not Available |
Full Name | Life, Elevated Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 331 Pine St, Lewiston, Maine |
Authorized Official Name and Position | Eric Rollins (LICENSED COUNSELOR (LCPC)) |
Authorized Official Contact | 2076949043 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Life, Elevated Llc 331 Pine St Lewiston ME 04240-6308 Ph: () - | Life, Elevated Llc 331 Pine St Lewiston ME 04240-6308 Ph: (207) 694-9043 |
NPI Number | 1346068020 |
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Provider Enumeration Date | 10/01/2024 |
Last Update Date | 10/01/2024 |
Certification Date | 10/01/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346068020 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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