| Midcoast Family Wellness Center | |
|
219 Route One Ste 101 Edgecomb ME 04556-3000 | |
| (207) 350-5788 | |
| Not Available |
| Full Name | Midcoast Family Wellness Center |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 219 Route One Ste 101, Edgecomb, Maine |
| Authorized Official Name and Position | Pia Marancik (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2073509875 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Midcoast Family Wellness Center 219 Route One Ste 101 Edgecomb ME 04556-3000 Ph: (207) 350-5788 | Midcoast Family Wellness Center 219 Route One Ste 101 Edgecomb ME 04556-3000 Ph: (207) 350-5788 |
| NPI Number | 1255846531 |
|---|---|
| Provider Enumeration Date | 12/07/2017 |
| Last Update Date | 12/07/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255846531 | NPI | - | NPPES |
| 1386978849 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | PS1389 (Maine) | Primary |