| Thepleasantoak, Inc | |
|
11 Parkwood Dr Augusta ME 04330-6252 | |
| (207) 441-6624 | |
| Not Available |
| Full Name | Thepleasantoak, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 11 Parkwood Dr, Augusta, Maine |
| Authorized Official Name and Position | Susan A Brochu (LICENSED CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 2074416624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Thepleasantoak, Inc 11 Parkwood Dr Augusta ME 04330-6252 Ph: (207) 441-6624 | Thepleasantoak, Inc 11 Parkwood Dr Augusta ME 04330-6252 Ph: (207) 441-6624 |
| NPI Number | 1275923369 |
|---|---|
| Provider Enumeration Date | 01/28/2015 |
| Last Update Date | 10/09/2024 |
| Certification Date | 10/09/2024 |
| Medicare PECOS PAC ID | 1456679521 |
|---|---|
| Medicare Enrollment ID | O20150422000076 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275923369 | NPI | - | NPPES |
| ME1038 | Other | ME | ME1038 PCAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | LC7597 (Maine) | Primary |
| Provider Name | Susan A Brochu |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144311135 PECOS PAC ID: 5395700942 Enrollment ID: I20041123000826 |
Esm, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 776 Riverside Dr, Augusta, ME 04330 Phone: 207-622-5946 Fax: 207-622-4667 | |
Augusta Neurology Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 55 Middle Street, Suite 1, Augusta, ME 04330 Phone: 207-626-5445 Fax: 207-626-5446 | |
Green Zone Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Baldwin St, Augusta, ME 04330 Phone: 207-592-6911 | |
Maine Behavioral Health Organization Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Oak St, Augusta, ME 04330 Phone: 207-458-4642 | |
Betsy Ann Ross House Of Hope Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Summer St, Augusta, ME 04330 Phone: 207-530-0466 | |
Suzanne White, Lcsw Corp Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 49 Oak St, Augusta, ME 04330 Phone: 207-649-4047 Fax: 207-622-6290 | |
Graham Behavioral Services, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 Eastern Ave, Augusta, ME 04330 Phone: 207-626-0003 Fax: 207-626-0004 |