| Room To Grow Counseling Llc | |
|
95 India St Portland ME 04101-4250 | |
| (207) 641-5417 | |
| Not Available |
| Full Name | Room To Grow Counseling Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 95 India St, Portland, Maine |
| Authorized Official Name and Position | Kathleen O'toole (OWNER) |
| Authorized Official Contact | 2076415417 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Room To Grow Counseling Llc 201 Mariner Way # 1040 Biddeford ME 04005-9437 Ph: (207) 641-5417 | Room To Grow Counseling Llc 95 India St Portland ME 04101-4250 Ph: (207) 641-5417 |
| NPI Number | 1184312134 |
|---|---|
| Provider Enumeration Date | 04/27/2023 |
| Last Update Date | 04/17/2024 |
| Certification Date | 04/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184312134 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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