| Thriveworks Telepsychiatry - Maine | |
|
550 Forest Ave Ste 201 Portland ME 04101-1505 | |
| (855) 284-7483 | |
| Not Available |
| Full Name | Thriveworks Telepsychiatry - Maine |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 550 Forest Ave Ste 201, Portland, Maine |
| Authorized Official Name and Position | Nathan Miller (CREDENTIALING) |
| Authorized Official Contact | 5402176461 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thriveworks Telepsychiatry - Maine Po Box 748465 Atlanta GA 30374-8465 Ph: (855) 284-7483 | Thriveworks Telepsychiatry - Maine 550 Forest Ave Ste 201 Portland ME 04101-1505 Ph: (855) 284-7483 |
| NPI Number | 1649909797 |
|---|---|
| Provider Enumeration Date | 06/06/2022 |
| Last Update Date | 02/11/2025 |
| Certification Date | 02/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649909797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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