Reassemble Us Counseling And Coaching, Llc | |
169 Anthoine St South Portland ME 04106-4452 | |
(207) 800-1660 | |
Not Available |
Full Name | Reassemble Us Counseling And Coaching, Llc |
---|---|
Speciality | Social Worker |
Location | 169 Anthoine St, South Portland, Maine |
Authorized Official Name and Position | Kristen Smith (OWNER) |
Authorized Official Contact | 2078001660 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Reassemble Us Counseling And Coaching, Llc 169 Anthoine St South Portland ME 04106-4452 Ph: () - | Reassemble Us Counseling And Coaching, Llc 169 Anthoine St South Portland ME 04106-4452 Ph: (207) 800-1660 |
NPI Number | 1518720267 |
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Provider Enumeration Date | 02/05/2024 |
Last Update Date | 03/11/2024 |
Certification Date | 03/11/2024 |
Medicare PECOS PAC ID | 2264879584 |
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Medicare Enrollment ID | O20240322000897 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518720267 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
104100000X | Social Worker | (* (Not Available)) | Primary |
Provider Name | Kristen D Smith |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699433680 PECOS PAC ID: 3173960499 Enrollment ID: I20240322001028 |
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