| Luana Carroll, Lcsw, Llc | |
|
68 Bishop St Portland ME 04103-2681 | |
| (207) 423-7622 | |
| Not Available |
| Full Name | Luana Carroll, Lcsw, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 68 Bishop St, Portland, Maine |
| Authorized Official Name and Position | Luana Carroll (OWNER/PSYCHOTHERAPIST) |
| Authorized Official Contact | 2074237622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Luana Carroll, Lcsw, Llc Po Box 4 Buxton ME 04093-0004 Ph: () - | Luana Carroll, Lcsw, Llc 68 Bishop St Portland ME 04103-2681 Ph: (207) 423-7622 |
| NPI Number | 1841849007 |
|---|---|
| Provider Enumeration Date | 09/10/2019 |
| Last Update Date | 12/30/2019 |
| Certification Date | 12/30/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841849007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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