| Ellen Haney, LCPC | |
|
17 Bishop St, Portland, ME 04103-2659 | |
| (207) 871-1235 | |
| (207) 879-6161 |
| Full Name | Ellen Haney |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 17 Bishop St, Portland, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831260926 | NPI | - | NPPES |
| 298120099 | Medicaid | ME | |
| CAC2975 | Other | ME | ALCOHOL AND ABUSE COUNS. |
| RB9 | Other | ME | ANTHEM |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CC1537 (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 | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240716002941 |
| Mailing Address | Practice Location Address |
|---|---|
| Ellen Haney, LCPC 57 Hillis St, Portland, ME 04103-2418 Ph: (207) 871-1200 | Ellen Haney, LCPC 17 Bishop St, Portland, ME 04103-2659 Ph: (207) 871-1235 |
Maria A Moustrouphis, LCSW, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 77 Vermont Ave, Portland, ME 04103 Phone: 207-409-9487 | |
Katherine P Whittemore, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 1050 Forest Ave, Portland, ME 04103 Phone: 207-242-0443 | |
Annah Levasseur, LMSW-CC, LADC, CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Euclid Ave, Portland, ME 04103 Phone: 207-838-6603 | |
Scott W. Hutcherson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Lancaster St, Portland, ME 04101 Phone: 207-874-1030 Fax: 207-874-1044 | |
Emily-anne Garland, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 576 Saint John St, Portland, ME 04102 Phone: 207-780-0020 Fax: 207-780-0022 | |
Michael H Freeman, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 250 Anderson St, Portland, ME 04101 Phone: 207-775-5671 Fax: 207-871-1243 | |
David R Arnold, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 44 Exchange St, Portland, ME 04101 Phone: 207-209-5067 |