Thriveworks Telepsychiatry - Maine | |
550 Forest Ave Ste 201 Portland ME 04101-1505 | |
(855) 284-7483 | |
Not Available |
Full Name | Thriveworks Telepsychiatry - Maine |
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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 |
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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 |
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Provider Enumeration Date | 06/06/2022 |
Last Update Date | 02/11/2025 |
Certification Date | 02/11/2025 |
Identifier | Type | State | Issuer |
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1649909797 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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