| Embodied Change Counseling, Llc | |
|
57 Exchange St Ste 203 Portland ME 04101-5000 | |
| (603) 667-1603 | |
| Not Available |
| Full Name | Embodied Change Counseling, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 57 Exchange St Ste 203, Portland, Maine |
| Authorized Official Name and Position | Stephen Dacey (OWNER) |
| Authorized Official Contact | 6036671603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Embodied Change Counseling, Llc 57 Exchange St Ste 203 Portland ME 04101-5000 Ph: () - | Embodied Change Counseling, Llc 57 Exchange St Ste 203 Portland ME 04101-5000 Ph: (603) 667-1603 |
| NPI Number | 1942939491 |
|---|---|
| Provider Enumeration Date | 06/09/2022 |
| Last Update Date | 01/04/2024 |
| Certification Date | 01/04/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942939491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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