Elm Tree Counseling, Llc | |
63 Elm St Ste A Topsham ME 04086-1424 | |
(207) 449-8520 | |
Not Available |
Full Name | Elm Tree Counseling, Llc |
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Speciality | Counselor |
Location | 63 Elm St Ste A, Topsham, Maine |
Authorized Official Name and Position | Sadie Fowler (OWNER) |
Authorized Official Contact | 2074498520 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elm Tree Counseling, Llc 63 Elm St Ste A Topsham ME 04086-1424 Ph: () - | Elm Tree Counseling, Llc 63 Elm St Ste A Topsham ME 04086-1424 Ph: (207) 449-8520 |
NPI Number | 1922602747 |
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Provider Enumeration Date | 11/23/2020 |
Last Update Date | 09/17/2021 |
Certification Date | 09/17/2021 |
Medicare PECOS PAC ID | 5698184489 |
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Medicare Enrollment ID | O20210507000153 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922602747 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Provider Name | Sadie S Fowler |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245517366 PECOS PAC ID: 0042444556 Enrollment ID: I20131015001953 |
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