| Resilient Women, Llc | |
|
198 Main St Ste 204 Ellsworth ME 04605-1941 | |
| (207) 479-0553 | |
| Not Available |
| Full Name | Resilient Women, Llc |
|---|---|
| Speciality | Counselor |
| Location | 198 Main St Ste 204, Ellsworth, Maine |
| Authorized Official Name and Position | Pamela Gagnon Da Silva (OWNER / LCPC) |
| Authorized Official Contact | 2074790553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilient Women, Llc Po Box 271 Ellsworth ME 04605-0271 Ph: (207) 479-0553 | Resilient Women, Llc 198 Main St Ste 204 Ellsworth ME 04605-1941 Ph: (207) 479-0553 |
| NPI Number | 1447026059 |
|---|---|
| Provider Enumeration Date | 11/27/2023 |
| Last Update Date | 11/27/2023 |
| Certification Date | 11/27/2023 |
| Medicare PECOS PAC ID | 5991157208 |
|---|---|
| Medicare Enrollment ID | O20240122003758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447026059 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Pamela J Gagnon Da Silva |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821515339 PECOS PAC ID: 8224489729 Enrollment ID: I20240122003732 |
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