| Powers Of The Healing Arts Therapy And Training Center, Llc | |
|
650 Main St Ste 201b South Portland ME 04106-5448 | |
| (207) 536-4931 | |
| Not Available |
| Full Name | Powers Of The Healing Arts Therapy And Training Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 650 Main St Ste 201b, South Portland, Maine |
| Authorized Official Name and Position | Julien Powers-candelmo (OWNER) |
| Authorized Official Contact | 2075364931 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Powers Of The Healing Arts Therapy And Training Center, Llc 650 Main St Ste 201b South Portland ME 04106-5448 Ph: (207) 536-4931 | Powers Of The Healing Arts Therapy And Training Center, Llc 650 Main St Ste 201b South Portland ME 04106-5448 Ph: (207) 536-4931 |
| NPI Number | 1801636048 |
|---|---|
| Provider Enumeration Date | 05/27/2024 |
| Last Update Date | 05/27/2024 |
| Certification Date | 05/27/2024 |
| Medicare PECOS PAC ID | 3476093337 |
|---|---|
| Medicare Enrollment ID | O20240906002325 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801636048 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Julien Powers-candelmo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982008520 PECOS PAC ID: 4688993124 Enrollment ID: I20150505000034 |
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