| Anthonie Justin Phillis, LCPC, LADC | |
| 
					281 Main Street, Biddeford, ME 04005  | |
| (207) 494-8010 | |
| (207) 494-8471 | 
| Full Name | Anthonie Justin Phillis | 
|---|---|
| Gender | Male | 
| Speciality | Counselor - Professional | 
| Location | 281 Main Street, Biddeford, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750917027 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC6938 (Maine) | Secondary | 
| 101YP2500X | Counselor - Professional | CC7079 (Maine) | Primary | 
| Entity Name | Sweetser | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1538122445 PECOS PAC ID: 8325946213 Enrollment ID: O20031230000339  | 
| Entity Name | Mainehealth | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Anthonie Justin Phillis, LCPC, LADC 275 Main Street, Suite 205, Biddeford, ME 04005 Ph: (207) 391-0347  | Anthonie Justin Phillis, LCPC, LADC 281 Main Street, Biddeford, ME 04005 Ph: (207) 494-8010  | 
Janine Parker, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 443 Main St, Biddeford, ME 04005 Phone: 207-370-2926  | |
Ms. Barbara Kathleen Hester, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Springbrook Dr, Biddeford, ME 04005 Phone: 207-282-1500 Fax: 207-282-2581  | |
Katherine F. Meredith, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Springbrook Dr, Biddeford, ME 04005 Phone: 207-282-1500 Fax: 207-282-2581  | |
Abigail Logan Daggett,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 265 Main St # 201, Biddeford, ME 04005 Phone: 207-888-2185  | |
Katherine Morris, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Springbrook Drive, Biddeford, ME 04005 Phone: 207-282-1500 Fax: 207-282-7509  | |
Cheryl Ann Demers, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Springbrook Dr, Biddeford, ME 04005 Phone: 844-292-0111 Fax: 207-282-2581  | |
Valerie Jones, LMSWCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 Springbrook Dr, Biddeford, ME 04005 Phone: 207-282-1500 Fax: 207-282-7509  |