| Mint Condition Counseling, Llc | |
|
40 Brackett St Apt 3 Westbrook ME 04092-3383 | |
| (603) 860-4900 | |
| Not Available |
| Full Name | Mint Condition Counseling, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 40 Brackett St Apt 3, Westbrook, Maine |
| Authorized Official Name and Position | Nicole E Blake (SOLE MEMBER/OWNER) |
| Authorized Official Contact | 6038604900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mint Condition Counseling, Llc 40 Brackett St Apt 3 Westbrook ME 04092-3383 Ph: (603) 860-4900 | Mint Condition Counseling, Llc 40 Brackett St Apt 3 Westbrook ME 04092-3383 Ph: (603) 860-4900 |
| NPI Number | 1205583895 |
|---|---|
| Provider Enumeration Date | 03/03/2022 |
| Last Update Date | 12/22/2022 |
| Certification Date | 12/22/2022 |
| Medicare PECOS PAC ID | 9537517552 |
|---|---|
| Medicare Enrollment ID | O20231130001899 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205583895 | NPI | - | NPPES |
| 2077079813 | Other | INDIV NPI |
| Provider Name | Nicole Blake |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962022350 PECOS PAC ID: 2062884166 Enrollment ID: I20230421000918 |
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