| Vickie L Montgomery, LCPC | |
| 
					157 Park St Ste 5, Bangor, ME 04401-5000  | |
| (207) 992-0410 | |
| Not Available | 
| Full Name | Vickie L Montgomery | 
|---|---|
| Gender | Female | 
| Speciality | Counselor | 
| Location | 157 Park St Ste 5, Bangor, Maine | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1982700076 | NPI | - | NPPES | 
| 309890099 | Medicaid | ME | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 101Y00000X | Counselor | CC2384 (Maine) | Primary | 
| Entity Name | Cornerstone Behavioral Healthcare Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1215102850 PECOS PAC ID: 7214097740 Enrollment ID: O20081113000616  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Vickie L Montgomery, LCPC 157 Park St Ste 5, Bangor, ME 04401-5000 Ph: () -  | Vickie L Montgomery, LCPC 157 Park St Ste 5, Bangor, ME 04401-5000 Ph: (207) 992-0410  | 
Joan Reinholdtsen,  Counselor Medicare: Medicare Enrolled Practice Location: 157 Park St, Bangor, ME 04401 Phone: 207-992-0410  | |
Emily A Goode, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 86 Davis Rd, Bangor, ME 04401 Phone: 207-992-2205 Fax: 207-992-2207  | |
Beth Cottrell,  Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 Stillwater Ave Ste 104, Bangor, ME 04401 Phone: 207-659-6510  | |
Melissa Leary, ADCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 689 Odlin Rd, Bangor, ME 04401 Phone: 207-947-6800  | |
Mrs. Debbie Lynn Webber, MED, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Springer Road, 1 Springer Place Suite 202, Bangor, ME 04401 Phone: 207-992-2535 Fax: 207-992-2539  | |
Nicholas Jon Pelkey, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 96 Harlow St, Suite 360, Bangor, ME 04401 Phone: 207-945-9777 Fax: 207-945-9780  | |
Amanda Elliott, ADCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 689 Odlin Rd Ste 1, Bangor, ME 04401 Phone: 207-947-6800  |