| Mandala Counseling And Creative Arts, Llc | |
|
291 Main St Orono ME 04473-3439 | |
| (207) 881-3134 | |
| Not Available |
| Full Name | Mandala Counseling And Creative Arts, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 291 Main St, Orono, Maine |
| Authorized Official Name and Position | Daryne M Rockett (OWNER/LCSW) |
| Authorized Official Contact | 2078813134 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mandala Counseling And Creative Arts, Llc 14 Fernwood St Orono ME 04473-3817 Ph: () - | Mandala Counseling And Creative Arts, Llc 291 Main St Orono ME 04473-3439 Ph: (207) 881-3134 |
| NPI Number | 1891497368 |
|---|---|
| Provider Enumeration Date | 03/20/2023 |
| Last Update Date | 03/20/2023 |
| Certification Date | 03/20/2023 |
| Medicare PECOS PAC ID | 2466826268 |
|---|---|
| Medicare Enrollment ID | O20230317001280 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891497368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Daryne Rockett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811608458 PECOS PAC ID: 6507231412 Enrollment ID: I20230406002081 |
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