| Pine State Telehealth Therapy Llc | |
|
110 Wilderness Ln Bowdoinham ME 04008-6059 | |
| (207) 209-3123 | |
| Not Available |
| Full Name | Pine State Telehealth Therapy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 110 Wilderness Ln, Bowdoinham, Maine |
| Authorized Official Name and Position | Mary Stanton (OWNER) |
| Authorized Official Contact | 2072093123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pine State Telehealth Therapy Llc Po Box 231 Richmond ME 04357-0231 Ph: (207) 209-3123 | Pine State Telehealth Therapy Llc 110 Wilderness Ln Bowdoinham ME 04008-6059 Ph: (207) 209-3123 |
| NPI Number | 1801631569 |
|---|---|
| Provider Enumeration Date | 06/26/2024 |
| Last Update Date | 06/26/2024 |
| Certification Date | 06/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801631569 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Lost In The Woods Counseling Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 45 Fisher Rd, Bowdoinham, ME 04008 Phone: 207-450-9362 |