| R.i.s.e. Integrated Mental Health Pllc | |
|
1250 Forest Avenue Unit 14, Suite 1 Portland ME 04103 | |
| (207) 747-9581 | |
| Not Available |
| Full Name | R.i.s.e. Integrated Mental Health Pllc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 1250 Forest Avenue, Portland, Maine |
| Authorized Official Name and Position | Amanda Sedgwick (MANAGER/OWNER) |
| Authorized Official Contact | 2077479581 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| R.i.s.e. Integrated Mental Health Pllc 2 Apple Tree Ct York ME 03909-5415 Ph: (207) 747-9581 | R.i.s.e. Integrated Mental Health Pllc 1250 Forest Avenue Unit 14, Suite 1 Portland ME 04103 Ph: (207) 747-9581 |
| NPI Number | 1467200899 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467200899 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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