| Inner Knowing Clinical Therapy Llc | |
|
117 Brown Rd Durham ME 04222-5213 | |
| (207) 707-5129 | |
| Not Available |
| Full Name | Inner Knowing Clinical Therapy Llc |
|---|---|
| Speciality | Social Worker |
| Location | 117 Brown Rd, Durham, Maine |
| Authorized Official Name and Position | Carol Despres (CEO/OWNER) |
| Authorized Official Contact | 2077075129 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Inner Knowing Clinical Therapy Llc Pmb Box 354 190 Us Route 1 Falmouth ME 04105 Ph: (207) 707-5129 | Inner Knowing Clinical Therapy Llc 117 Brown Rd Durham ME 04222-5213 Ph: (207) 707-5129 |
| NPI Number | 1639781354 |
|---|---|
| Provider Enumeration Date | 08/24/2020 |
| Last Update Date | 08/24/2020 |
| Certification Date | 08/19/2020 |
| Medicare PECOS PAC ID | 2264845486 |
|---|---|
| Medicare Enrollment ID | O20210107002563 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639781354 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carol S Despres |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366715856 PECOS PAC ID: 5597052399 Enrollment ID: I20160922000342 |
Twin Suns Therapy, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1457 Royalsborough Rd, Durham, ME 04222 Phone: 319-430-6378 |