| Lacey Marie Graffam, MS, LCPC | |
|
63 Ocean St Unit B, South Portland, ME 04106-2828 | |
| (207) 432-4007 | |
| (207) 774-9299 |
| Full Name | Lacey Marie Graffam |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 63 Ocean St Unit B, South 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 |
|---|---|---|---|
| 1710494315 | NPI | - | NPPES |
| 1710494315 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | CC6373 (Maine) | Primary |
| Entity Name | Health Affiliates Maine, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932413556 PECOS PAC ID: 1951594076 Enrollment ID: O20101021000912 |
| Mailing Address | Practice Location Address |
|---|---|
| Lacey Marie Graffam, MS, LCPC 175 Deer Crossing Rd, Limerick, ME 04048-3418 Ph: (207) 432-4007 | Lacey Marie Graffam, MS, LCPC 63 Ocean St Unit B, South Portland, ME 04106-2828 Ph: (207) 432-4007 |
Kristen Cianelli, Counselor Medicare: Medicare Enrolled Practice Location: 525 Main St, South Portland, ME 04106 Phone: 207-874-1045 Fax: 207-767-0995 | |
Mrs. Mary Beach, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 Lydia Ln, South Portland, ME 04106 Phone: 207-874-1175 | |
Jon Muench, LMSW,LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 Main St, South Portland, ME 04106 Phone: 207-874-1045 Fax: 207-767-0995 | |
June Coravos, LCPC,LADC,CCS Counselor Medicare: Not Enrolled in Medicare Practice Location: 525 Main St, South Portland, ME 04106 Phone: 207-874-1045 Fax: 207-767-0995 | |
Sarah Elizabeth Hamann Hartford, LCSW, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 918 Broadway, South Portland, ME 04106 Phone: 603-486-6077 | |
Maeve Grace Donnelly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6 D St, South Portland, ME 04106 Phone: 207-615-5213 | |
Ms. Samantha King, MA, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 126 Sawyer St, South Portland, ME 04106 Phone: 704-477-5212 |