| Mainestay Counseling, Llc | |
|
54 Main St Bucksport ME 04416-4112 | |
| (207) 323-4449 | |
| Not Available |
| Full Name | Mainestay Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 54 Main St, Bucksport, Maine |
| Authorized Official Name and Position | Kenneth Harvey (OWNER) |
| Authorized Official Contact | 2073234449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mainestay Counseling, Llc 22 Fox Run Ct Winterport ME 04496-3045 Ph: () - | Mainestay Counseling, Llc 54 Main St Bucksport ME 04416-4112 Ph: (207) 323-4449 |
| NPI Number | 1821849209 |
|---|---|
| Provider Enumeration Date | 04/01/2024 |
| Last Update Date | 04/01/2024 |
| Certification Date | 04/01/2024 |
| Medicare PECOS PAC ID | 2365983947 |
|---|---|
| Medicare Enrollment ID | O20240923003155 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821849209 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kenneth Harvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376948877 PECOS PAC ID: 3072846906 Enrollment ID: I20190610000773 |
Bucksport Regional Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 110 Broadway, Bucksport, ME 04416 Phone: 207-469-7371 | |