| Sarah Mcvicar, Llc | |
|
10 Ashley Ln Portland ME 04103-2787 | |
| (603) 387-1386 | |
| Not Available |
| Full Name | Sarah Mcvicar, Llc |
|---|---|
| Speciality | Counselor |
| Location | 10 Ashley Ln, Portland, Maine |
| Authorized Official Name and Position | Sarah Mcvicar (OWNER) |
| Authorized Official Contact | 6033871386 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sarah Mcvicar, Llc 10 Ashley Ln Portland ME 04103-2787 Ph: (603) 387-1386 | Sarah Mcvicar, Llc 10 Ashley Ln Portland ME 04103-2787 Ph: (603) 387-1386 |
| NPI Number | 1275376857 |
|---|---|
| Provider Enumeration Date | 06/13/2024 |
| Last Update Date | 09/05/2024 |
| Certification Date | 09/05/2024 |
| Medicare PECOS PAC ID | 8628500733 |
|---|---|
| Medicare Enrollment ID | O20241015000167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275376857 | NPI | - | NPPES |
| Provider Name | Sarah Malka Mcvicar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780282541 PECOS PAC ID: 9234679523 Enrollment ID: I20240913000214 |
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