| Tricia Ledoux Counseling Llc | |
|
275 Main St Ste 204 Biddeford ME 04005-2432 | |
| (207) 352-0433 | |
| Not Available |
| Full Name | Tricia Ledoux Counseling Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 275 Main St Ste 204, Biddeford, Maine |
| Authorized Official Name and Position | Patricia A Ledoux (OWNER) |
| Authorized Official Contact | 2073520433 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tricia Ledoux Counseling Llc Po Box 2258 Biddeford ME 04005-8258 Ph: (207) 352-0433 | Tricia Ledoux Counseling Llc 275 Main St Ste 204 Biddeford ME 04005-2432 Ph: (207) 352-0433 |
| NPI Number | 1811604945 |
|---|---|
| Provider Enumeration Date | 10/28/2022 |
| Last Update Date | 10/28/2022 |
| Certification Date | 06/02/2021 |
| Medicare PECOS PAC ID | 5294188421 |
|---|---|
| Medicare Enrollment ID | O20240124002060 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811604945 | NPI | - | NPPES |
| 1700423837 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Patricia Ann Ledoux |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700423837 PECOS PAC ID: 5092168229 Enrollment ID: I20240124002151 |
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