Embodied Change Counseling, Llc | |
57 Exchange St Ste 203 Portland ME 04101-5000 | |
(603) 667-1603 | |
Not Available |
Full Name | Embodied Change Counseling, Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 57 Exchange St Ste 203, Portland, Maine |
Authorized Official Name and Position | Stephen Dacey (OWNER) |
Authorized Official Contact | 6036671603 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Embodied Change Counseling, Llc 57 Exchange St Ste 203 Portland ME 04101-5000 Ph: () - | Embodied Change Counseling, Llc 57 Exchange St Ste 203 Portland ME 04101-5000 Ph: (603) 667-1603 |
NPI Number | 1942939491 |
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Provider Enumeration Date | 06/09/2022 |
Last Update Date | 01/04/2024 |
Certification Date | 01/04/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942939491 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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