| Night Sky Counseling Llc | |
|
79 Lancaster Rd Pittston ME 04345-5970 | |
| (207) 458-1665 | |
| Not Available |
| Full Name | Night Sky Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 79 Lancaster Rd, Pittston, Maine |
| Authorized Official Name and Position | Andrea R Mooney (CEO) |
| Authorized Official Contact | 2074581665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Night Sky Counseling Llc 79 Lancaster Rd Pittston ME 04345-5970 Ph: (207) 458-1665 | Night Sky Counseling Llc 79 Lancaster Rd Pittston ME 04345-5970 Ph: (207) 458-1665 |
| NPI Number | 1588246870 |
|---|---|
| Provider Enumeration Date | 04/26/2021 |
| Last Update Date | 04/27/2021 |
| Certification Date | 04/27/2021 |
| Medicare PECOS PAC ID | 0345639761 |
|---|---|
| Medicare Enrollment ID | O20211105000182 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588246870 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Andrea R Mooney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730467952 PECOS PAC ID: 5496010928 Enrollment ID: I20211105000230 |
Kennebec Community Integration Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 97 Stoney Acres Rd, Pittston, ME 04345 Phone: 207-649-7197 |