| Life By Design, Pa | |
|
147 Academy St Presque Isle ME 04769-3101 | |
| (207) 764-6825 | |
| (207) 764-6077 |
| Full Name | Life By Design, Pa |
|---|---|
| Speciality | Social Worker |
| Location | 147 Academy St, Presque Isle, Maine |
| Authorized Official Name and Position | Deborah A Gray (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2077646825 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Life By Design, Pa 147 Academy St Presque Isle ME 04769-3101 Ph: (207) 764-6825 | Life By Design, Pa 147 Academy St Presque Isle ME 04769-3101 Ph: (207) 764-6825 |
| NPI Number | 1053345918 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 06/20/2023 |
| Certification Date | 06/20/2023 |
| Medicare PECOS PAC ID | 9032188909 |
|---|---|
| Medicare Enrollment ID | O20040928000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053345918 | NPI | - | NPPES |
| 163520000 | Medicaid | ME | |
| 163520100 | Medicaid | ME | |
| 163520001 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 429704 (Maine) | Primary |
| Provider Name | Deborah A Gray |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215955307 PECOS PAC ID: 9638065352 Enrollment ID: I20040227000369 |
| Provider Name | Linda M Chalou |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043245947 PECOS PAC ID: 3971695578 Enrollment ID: I20070828000357 |
| Provider Name | Rachel J Michaud |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962627539 PECOS PAC ID: 3274674221 Enrollment ID: I20100113000031 |
| Provider Name | Holly R Vigue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720282213 PECOS PAC ID: 8820128531 Enrollment ID: I20100607000439 |
| Provider Name | Sherry Pelletier |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447536156 PECOS PAC ID: 5193941037 Enrollment ID: I20140729001887 |
| Provider Name | Cindy M Barker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174879985 PECOS PAC ID: 7113265489 Enrollment ID: I20190212000871 |
| Provider Name | Christine B Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740351840 PECOS PAC ID: 5496847089 Enrollment ID: I20220421001416 |
A & L Clinical Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 742 Main Street, Presque Isle, ME 04769 Phone: 207-768-1676 | |
County Behavioral Medicine Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 34 North St, Suite 6, Presque Isle, ME 04769 Phone: 857-891-4230 | |
Presque Isle Health Center Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 66 Spruce St Ste B, Presque Isle, ME 04769 Phone: 207-769-2025 Fax: 207-764-0629 | |
Simply Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 54 3rd St, Presque Isle, ME 04769 Phone: 970-275-5075 | |
Central Aroostook Psychiatric Services Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 521 Main St, Presque Isle, ME 04769 Phone: 207-764-9700 |