Soul Sanctuary, Llc - Mental Health Clinic in Portland, ME

Soul Sanctuary, Llc is a mental health clinic (Counselor - Addiction (substance Use Disorder)) in Portland, Maine. The current practice location for Soul Sanctuary, Llc is 1519 Forest Ave, Portland, Maine. For appointments, you can reach them via phone at (617) 690-9020. The mailing address for Soul Sanctuary, Llc is 22 Redlon Rd, Portland, Maine and phone number is (617) 690-9020.

Soul Sanctuary, Llc is licensed to practice in * (Not Available) (license number ) and its NPI number is 1003557943. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (617) 690-9020.

Contact Information

Soul Sanctuary, Llc
1519 Forest Ave
Portland
ME 04103-1805
(617) 690-9020
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameSoul Sanctuary, Llc
SpecialityCounselor - Addiction (substance Use Disorder)
Location1519 Forest Ave, Portland, Maine
Authorized Official Name and PositionLisa Nashawaty (PROGRAM DIRECTOR)
Authorized Official Contact6176909020
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Soul Sanctuary, Llc
22 Redlon Rd
Portland
ME 04102-2218

Ph: (617) 690-9020
Soul Sanctuary, Llc
1519 Forest Ave
Portland
ME 04103-1805

Ph: (617) 690-9020

NPI Details:

NPI Number1003557943
Provider Enumeration Date04/05/2022
Last Update Date04/05/2022
Certification Date04/05/2022

Medical Identifiers

Medical identifiers for Soul Sanctuary, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003557943NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Reviews and Comments

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.