| Noah Krell Psychotherapy, Llc | |
|
57 Exchange St Ste 203 Portland ME 04101-5000 | |
| (207) 417-6260 | |
| (207) 569-9919 |
| Full Name | Noah Krell Psychotherapy, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 57 Exchange St Ste 203, Portland, Maine |
| Authorized Official Name and Position | Noah Daniel Krell (OWNER) |
| Authorized Official Contact | 2074176260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Noah Krell Psychotherapy, Llc 19 Westminster Ave Portland ME 04103-2430 Ph: (207) 417-6260 | Noah Krell Psychotherapy, Llc 57 Exchange St Ste 203 Portland ME 04101-5000 Ph: (207) 417-6260 |
| NPI Number | 1194376079 |
|---|---|
| Provider Enumeration Date | 09/23/2019 |
| Last Update Date | 03/18/2020 |
| Certification Date | 03/18/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194376079 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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