| Acorn & Oak Llc | |
|
5 Fletcher St Ste 202 Kennebunk ME 04043-6705 | |
| (207) 614-4108 | |
| (207) 517-5305 |
| Full Name | Acorn & Oak Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5 Fletcher St Ste 202, Kennebunk, Maine |
| Authorized Official Name and Position | Penelope Faith Snow (OWNER/CEO) |
| Authorized Official Contact | 2076144108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Acorn & Oak Llc 5 Fletcher St Ste 202 Kennebunk ME 04043-6705 Ph: (207) 614-4108 | Acorn & Oak Llc 5 Fletcher St Ste 202 Kennebunk ME 04043-6705 Ph: (207) 614-4108 |
| NPI Number | 1679172118 |
|---|---|
| Provider Enumeration Date | 10/24/2020 |
| Last Update Date | 08/25/2021 |
| Certification Date | 08/25/2021 |
| Medicare PECOS PAC ID | 2466975891 |
|---|---|
| Medicare Enrollment ID | O20250326003165 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679172118 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Penelope F Snow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003157884 PECOS PAC ID: 8022236785 Enrollment ID: I20140822000138 |
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