| Ms Kaitlin Rose Stalling, LCPC | |
|
100 Campus Ave Ste A&b, Lewiston, ME 04240-6040 | |
| (207) 755-3434 | |
| (207) 755-3474 |
| Full Name | Ms Kaitlin Rose Stalling |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 100 Campus Ave Ste A&b, Lewiston, Maine |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457782187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | XL4268 (Maine) | Secondary |
| 101YP2500X | Counselor - Professional | CC4708 (Maine) | Primary |
| Entity Name | Community Clinical Services Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164477568 PECOS PAC ID: 0042101099 Enrollment ID: O20040513000884 |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Kaitlin Rose Stalling, LCPC C/o St Marys Health System - Provider Enrollment, Po Box 7291, Lewiston, ME 04243-7291 Ph: (207) 777-8950 | Ms Kaitlin Rose Stalling, LCPC 100 Campus Ave Ste A&b, Lewiston, ME 04240-6040 Ph: (207) 755-3434 |
Mrs. Debra L York, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 118 Pine St, Lewiston, ME 04240 Phone: 207-513-6051 | |
Martin Joseph Obrien, MARTIN OBRIEN Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Middle St, Lewiston, ME 04240 Phone: 207-212-9258 | |
Savannah M. Grover, CADC Counselor Medicare: Medicare Enrolled Practice Location: 1155 Lisbon St, Lewiston, ME 04240 Phone: 207-783-9141 | |
Ken D Morris, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 134 Main St, Lewiston, ME 04240 Phone: 207-513-2796 | |
Aidan Sinclair, MHRT-C, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 East Ave, Lewiston, ME 04240 Phone: 207-777-3399 | |
Bronte Roberts, LCPCC, LADC Counselor Medicare: Medicare Enrolled Practice Location: 76 High St, Lewiston, ME 04240 Phone: 207-795-2800 | |
Mrs. Brandi Masten, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 105 Middle St, Suite 1, Lewiston, ME 04240 Phone: 207-795-0149 |