| Wellspring, Inc. | |
|
253-255 Hammond St. Bangor ME 04401 | |
| (207) 941-1612 | |
| (207) 941-1634 |
| Full Name | Wellspring, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 253-255 Hammond St., Bangor, Maine |
| Authorized Official Name and Position | Patricia A Kimball (EXECUTIVE DIRECTOR REGISTERED AGENT) |
| Authorized Official Contact | 2079411612 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspring, Inc. 98 Cumberland St Bangor ME 04401-5234 Ph: () - | Wellspring, Inc. 253-255 Hammond St. Bangor ME 04401 Ph: (207) 941-1612 |
| NPI Number | 1568694511 |
|---|---|
| Provider Enumeration Date | 08/10/2009 |
| Last Update Date | 08/10/2009 |
| Medicare PECOS PAC ID | 8527236223 |
|---|---|
| Medicare Enrollment ID | O20110725000495 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568694511 | NPI | - | NPPES |
| 164940100 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 571380 (Maine) | Primary |
| Provider Name | Richard D Bissell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255453361 PECOS PAC ID: 6507887247 Enrollment ID: I20051214000226 |
| Provider Name | Sarah J Falvey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760703870 PECOS PAC ID: 0648415513 Enrollment ID: I20130325000232 |
Pinetree Behavioral Health, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 263 State St Ste 9, Bangor, ME 04401 Phone: 207-307-7119 Fax: 207-307-7129 | |
Robert Peddicord Phd Group Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Grove St, Bangor, ME 04401 Phone: 207-944-9315 | |
Greater Love Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 336 Mount Hope Ave Ste 14, Bangor, ME 04401 Phone: 207-561-0182 | |
Groundwork Healing Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Stillwater Ave Ste 7, Bangor, ME 04401 Phone: 918-344-7844 | |
Bangor Family Counseling Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 96 Harlow St, Ste 335, Bangor, ME 04401 Phone: 207-990-1555 Fax: 207-990-1555 | |
Community Health And Counseling Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 42 Cedar St, Bangor, ME 04401 Phone: 207-947-0366 Fax: 207-942-4350 | |
Third Eye Counseling Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 27 State St Ste 38, Bangor, ME 04401 Phone: 207-370-9397 |