Pine State Telehealth Therapy Llc | |
110 Wilderness Ln Bowdoinham ME 04008-6059 | |
(207) 209-3123 | |
Not Available |
Full Name | Pine State Telehealth Therapy Llc |
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Speciality | Counselor - Mental Health |
Location | 110 Wilderness Ln, Bowdoinham, Maine |
Authorized Official Name and Position | Mary Stanton (OWNER) |
Authorized Official Contact | 2072093123 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pine State Telehealth Therapy Llc Po Box 231 Richmond ME 04357-0231 Ph: (207) 209-3123 | Pine State Telehealth Therapy Llc 110 Wilderness Ln Bowdoinham ME 04008-6059 Ph: (207) 209-3123 |
NPI Number | 1801631569 |
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Provider Enumeration Date | 06/26/2024 |
Last Update Date | 06/26/2024 |
Certification Date | 06/26/2024 |
Identifier | Type | State | Issuer |
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1801631569 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |