Mindful Lotus | |
49 Cummings Ave Buxton ME 04093-3336 | |
(207) 650-0625 | |
Not Available |
Full Name | Mindful Lotus |
---|---|
Speciality | Social Worker - Clinical |
Location | 49 Cummings Ave, Buxton, Maine |
Authorized Official Name and Position | Amanda Evans Powell (SOCIAL WORKER) |
Authorized Official Contact | 2076500625 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mindful Lotus 49 Cummings Ave Buxton ME 04093-3336 Ph: (207) 650-0625 | Mindful Lotus 49 Cummings Ave Buxton ME 04093-3336 Ph: (207) 650-0625 |
NPI Number | 1083185797 |
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Provider Enumeration Date | 12/07/2018 |
Last Update Date | 12/07/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083185797 | NPI | - | NPPES |
1376736579 | Medicaid | ME |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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