| Seasons Of Life Llc | |
|
2821 N Belfast Ave Augusta ME 04330-0206 | |
| (207) 200-5840 | |
| Not Available |
| Full Name | Seasons Of Life Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2821 N Belfast Ave, Augusta, Maine |
| Authorized Official Name and Position | Kimberly Ann Morrison (OWNER/EMPLOYEE) |
| Authorized Official Contact | 2072005840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Seasons Of Life Llc 2821 N Belfast Ave Augusta ME 04330-0206 Ph: (207) 200-5840 | Seasons Of Life Llc 2821 N Belfast Ave Augusta ME 04330-0206 Ph: (207) 200-5840 |
| NPI Number | 1316413057 |
|---|---|
| Provider Enumeration Date | 10/21/2018 |
| Last Update Date | 12/12/2023 |
| Certification Date | 12/08/2023 |
| Medicare PECOS PAC ID | 7416296207 |
|---|---|
| Medicare Enrollment ID | O20190221001626 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316413057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly A Morrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518326735 PECOS PAC ID: 3274898283 Enrollment ID: I20180522002085 |
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