| Outlook Ccs, Llc | |
|
74 Beach St Saco ME 04072-2812 | |
| (207) 590-2728 | |
| (207) 835-4670 |
| Full Name | Outlook Ccs, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 74 Beach St, Saco, Maine |
| Authorized Official Name and Position | Karen Lemoine (PRESIDENT) |
| Authorized Official Contact | 2075902728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outlook Ccs, Llc 25 Ocean Greens Dr Saco ME 04072-2166 Ph: (207) 590-2728 | Outlook Ccs, Llc 74 Beach St Saco ME 04072-2812 Ph: (207) 590-2728 |
| NPI Number | 1093238461 |
|---|---|
| Provider Enumeration Date | 07/18/2017 |
| Last Update Date | 07/18/2017 |
| Medicare PECOS PAC ID | 4587930904 |
|---|---|
| Medicare Enrollment ID | O20171030001330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093238461 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | LC4689 (Maine) | Primary |
| Provider Name | Karen Lemoine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245751395 PECOS PAC ID: 4385918952 Enrollment ID: I20170920001797 |
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