| Third Eye Counseling Inc. | |
|
27 State St Ste 38 Bangor ME 04401-5141 | |
| (207) 370-9397 | |
| Not Available |
| Full Name | Third Eye Counseling Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 27 State St Ste 38, Bangor, Maine |
| Authorized Official Name and Position | Nichole E Gulowsen (PRESIDENT / MH & SA COUNSELOR) |
| Authorized Official Contact | 2073709397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Third Eye Counseling Inc. 2821 Mariaville Rd Mariaville ME 04605-7205 Ph: (207) 370-9397 | Third Eye Counseling Inc. 27 State St Ste 38 Bangor ME 04401-5141 Ph: (207) 370-9397 |
| NPI Number | 1053805945 |
|---|---|
| Provider Enumeration Date | 06/14/2018 |
| Last Update Date | 12/10/2018 |
| Medicare PECOS PAC ID | 8426389479 |
|---|---|
| Medicare Enrollment ID | O20191007001416 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053805945 | NPI | - | NPPES |
| Provider Name | Nichole E Gulowsen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588055016 PECOS PAC ID: 9436408481 Enrollment ID: I20180823002891 |
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