Cultivated Wellness Psychotherapy Llc | |
8 Pleasant St Lisbon Falls ME 04252-1612 | |
(207) 252-9303 | |
Not Available |
Full Name | Cultivated Wellness Psychotherapy Llc |
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Speciality | Counselor - Mental Health |
Location | 8 Pleasant St, Lisbon Falls, Maine |
Authorized Official Name and Position | Trinity Nicole Macomber (FOUNDER/ CLINICAL DIRECTOR) |
Authorized Official Contact | 2072529303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cultivated Wellness Psychotherapy Llc Po Box 971 Lisbon ME 04250-0971 Ph: (207) 252-9303 | Cultivated Wellness Psychotherapy Llc 8 Pleasant St Lisbon Falls ME 04252-1612 Ph: (207) 252-9303 |
NPI Number | 1942909403 |
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Provider Enumeration Date | 02/23/2023 |
Last Update Date | 02/23/2023 |
Certification Date | 02/23/2023 |
Identifier | Type | State | Issuer |
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1942909403 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Michael N. Raskin Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Main St, Lisbon Falls, ME 04252 Phone: 207-353-7254 Fax: 207-353-7258 |