| Lacey Marie Graffam, MS, LCPC | |
|
515 Range E Rd, Limerick, ME 04048-4226 | |
| (207) 432-4007 | |
| Not Available |
| Full Name | Lacey Marie Graffam |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 515 Range E Rd, Limerick, 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 | CC6373 (Maine) | Primary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 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 515 Range E Rd, Limerick, ME 04048-4226 Ph: (207) 432-4007 |
Ms. Georgia Gale Rose, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4 Central Ave, Limerick, ME 04048 Phone: 207-793-4933 Fax: 207-793-4909 | |
Ronald D Petersen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 143 Washington St, Limerick, ME 04048 Phone: 207-793-8444 | |
Gary J Labbe, LCPC-C Counselor Medicare: Accepting Medicare Assignments Practice Location: 143 Washington St, Limerick, ME 04048 Phone: 207-423-8490 |