| Nourishing Soul Therapy, Llc | |
|
53 Main St Topsham ME 04086-1234 | |
| (207) 844-7685 | |
| Not Available |
| Full Name | Nourishing Soul Therapy, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 53 Main St, Topsham, Maine |
| Authorized Official Name and Position | Monika S Eichler (OWNER/LICENSED CLINICAL SOCIAL WORK) |
| Authorized Official Contact | 2078447685 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nourishing Soul Therapy, Llc 67 Beaver Woods Dr Durham ME 04222-5491 Ph: (207) 844-7685 | Nourishing Soul Therapy, Llc 53 Main St Topsham ME 04086-1234 Ph: (207) 844-7685 |
| NPI Number | 1316680259 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Certification Date | 04/19/2022 |
| Medicare PECOS PAC ID | 7719363449 |
|---|---|
| Medicare Enrollment ID | O20221004003016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316680259 | NPI | - | NPPES |
| 1104340744 | Other | ME | COMMERCIAL INSURANCE USING TYPE 1 NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Monika Eichler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104340744 PECOS PAC ID: 1658708664 Enrollment ID: I20200303001114 |
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