| Northeast Wellness Group, Llc. | |
|
449 Forest Ave Ste 14 Portland ME 04101-2037 | |
| (774) 269-4700 | |
| Not Available |
| Full Name | Northeast Wellness Group, Llc. |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 449 Forest Ave Ste 14, Portland, Maine |
| Authorized Official Name and Position | Joseph Riley (CEO) |
| Authorized Official Contact | 7742694700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Wellness Group, Llc. 449 Forest Ave Ste 14 Portland ME 04101-2037 Ph: () - | Northeast Wellness Group, Llc. 449 Forest Ave Ste 14 Portland ME 04101-2037 Ph: (774) 269-4700 |
| NPI Number | 1457602708 |
|---|---|
| Provider Enumeration Date | 09/26/2012 |
| Last Update Date | 07/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457602708 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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