| Greater Love Counseling Llc | |
|
336 Mount Hope Ave Ste 14 Bangor ME 04401-4236 | |
| (207) 561-0182 | |
| Not Available |
| Full Name | Greater Love Counseling Llc |
|---|---|
| Speciality | Social Worker |
| Location | 336 Mount Hope Ave Ste 14, Bangor, Maine |
| Authorized Official Name and Position | Jack Gatti Hilton (LCSW/OWNER) |
| Authorized Official Contact | 2075610182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Love Counseling Llc 336 Mount Hope Ave Ste 14 Bangor ME 04401-4236 Ph: (207) 561-0182 | Greater Love Counseling Llc 336 Mount Hope Ave Ste 14 Bangor ME 04401-4236 Ph: (207) 561-0182 |
| NPI Number | 1003664509 |
|---|---|
| Provider Enumeration Date | 05/09/2024 |
| Last Update Date | 05/09/2024 |
| Certification Date | 05/09/2024 |
| Medicare PECOS PAC ID | 2860935277 |
|---|---|
| Medicare Enrollment ID | O20240613002362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003664509 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jason Dobrovolny |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427619691 PECOS PAC ID: 0840528881 Enrollment ID: I20190828003527 |
| Provider Name | Jack G Hilton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376123158 PECOS PAC ID: 1355707696 Enrollment ID: I20230511002982 |
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