| Taproot Therapy Pllc | |
|
411 Congress St Portland ME 04101-3505 | |
| (206) 794-5749 | |
| Not Available |
| Full Name | Taproot Therapy Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 411 Congress St, Portland, Maine |
| Authorized Official Name and Position | Sarah Rebecca Shea (OWNER) |
| Authorized Official Contact | 2067945748 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Taproot Therapy Pllc 411 Congress St Portland ME 04101-3505 Ph: (206) 794-5749 | Taproot Therapy Pllc 411 Congress St Portland ME 04101-3505 Ph: (206) 794-5749 |
| NPI Number | 1629776844 |
|---|---|
| Provider Enumeration Date | 02/16/2023 |
| Last Update Date | 03/26/2025 |
| Certification Date | 03/26/2025 |
| Medicare PECOS PAC ID | 5890136618 |
|---|---|
| Medicare Enrollment ID | O20240510002502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629776844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Sarah Rebecca Shea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861970238 PECOS PAC ID: 6709227523 Enrollment ID: I20240510002542 |
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