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LIFE SEASONS LLC NPI 1013269869


NPI Information

NPI: 1013269869
Provider Name: LIFE SEASONS, LLC
Classification: Counselor - 101Y00000X
Entity Type: Organization
Address:
290 POND RD
LEWISTON, ME
ZIP 04240
Phone: (877) 838-5741
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LIFE SEASONS, LLC is a counselor in Lewiston, ME. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. LIFE SEASONS, LLC NPI is 1013269869. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

290 POND RD
LEWISTON, ME
ZIP 04240-326
Phone: (877) 838-5741
Fax: (877) 832-3961

The provider's authorized official is Melissa A. Snyder .
The authorized official title is Clinician and has the following contact phone number (877) 838-5741.

The enumeration date for this NPI number is 10/3/2012 and was last updated on 10/3/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3101YP2500XCounselorProfessionalNo
4102L00000XPsychoanalystNo
5104100000XSocial WorkerNo
61041C0700XSocial WorkerClinicalNo
7106H00000XMarriage & Family TherapistNo
8101Y00000XCounselorYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1VC2175051842MEDICAIDMAINE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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