| Shawn Rodgers Lcpc Llc | |
|
17 Masonic St Rockland ME 04841-2808 | |
| (207) 701-1762 | |
| Not Available |
| Full Name | Shawn Rodgers Lcpc Llc |
|---|---|
| Speciality | Counselor |
| Location | 17 Masonic St, Rockland, Maine |
| Authorized Official Name and Position | Shawn Michael Rodgers (OWNER/EMPLOYEE) |
| Authorized Official Contact | 2077011762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shawn Rodgers Lcpc Llc 66 W Street Ext Rockport ME 04856-5133 Ph: (207) 701-1762 | Shawn Rodgers Lcpc Llc 17 Masonic St Rockland ME 04841-2808 Ph: (207) 701-1762 |
| NPI Number | 1437881968 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 7618317488 |
|---|---|
| Medicare Enrollment ID | O20240426000276 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437881968 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
| Provider Name | Shawn Michael Rodgers |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841485166 PECOS PAC ID: 9436599206 Enrollment ID: I20240426000456 |
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