| Patricia V Kelleher, MA,LCPC | |
| 
					159 Waldo Ave Apt 2, Belfast, ME 04915-6941  | |
| (207) 505-8561 | |
| Not Available | 
| Full Name | Patricia V Kelleher | 
|---|---|
| Gender | Female | 
| Speciality | Counselor - Mental Health | 
| Location | 159 Waldo Ave Apt 2, Belfast, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306030457 | NPI | - | NPPES | 
| 288710099 | Medicaid | ME | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | CC2066 (Maine) | Primary | 
| 101YP2500X | Counselor - Professional | CC2066 (Maine) | Secondary | 
| Entity Name | Brightside Health Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1073072658 PECOS PAC ID: 9234525098 Enrollment ID: O20230724001321  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Patricia V Kelleher, MA,LCPC 159 Waldo Ave Apt 2, Belfast, ME 04915-6941 Ph: (207) 505-8561  | Patricia V Kelleher, MA,LCPC 159 Waldo Ave Apt 2, Belfast, ME 04915-6941 Ph: (207) 505-8561  | 
Ms. Jean Marie Wakem, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 253 Northport Ave, Belfast, ME 04915 Phone: 207-338-4514  | |
Ms. Kirsten Spring Webb, MED LADC LCPCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Field St Ste 313, Belfast, ME 04915 Phone: 207-930-7000 Fax: 207-338-9922  | |
Morrika Wolford, LPC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Jesse Robbins Rd Ste D, Belfast, ME 04915 Phone: 970-779-2717  | |
Daniella Macleod, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Sweetser Drive, Belfast, ME 04915 Phone: 800-434-3000  | |
Ms. Lydia Hall, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 26 Spring St, Belfast, ME 04915 Phone: 207-852-0714  | |
Avery Stowe Laderer, LCPC-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Field St Ste 219, Belfast, ME 04915 Phone: 207-505-6082  | |
Sharon Leavell,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 9 Field St, Belfast, ME 04915 Phone: 207-338-8960  |