| Snow Moon Therapy Services LLC | |
|
169 Port Road Suite 16 Mailbox Kennebunk ME 04043-1325 | |
| (207) 558-2308 | |
| Not Available |
| Full Name | Snow Moon Therapy Services LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 169 Port Road Suite 16, Kennebunk, Maine |
| Authorized Official Name and Position | Madelyn Alexandra Sauget (OWNER) |
| Authorized Official Contact | 6183408141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Snow Moon Therapy Services LLC 369 Main St Apt C South Berwick ME 03908-1325 Ph: (618) 340-8141 | Snow Moon Therapy Services LLC 169 Port Road Suite 16 Mailbox Kennebunk ME 04043-1325 Ph: (207) 558-2308 |
| NPI Number | 1689430415 |
|---|---|
| Provider Enumeration Date | 02/28/2024 |
| Last Update Date | 06/12/2025 |
| Certification Date | 05/27/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689430415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | () | Secondary |
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