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DIRIGO COUNSELING CLINIC LLC NPI 1295734085


NPI Information

NPI: 1295734085
Provider Name: DIRIGO COUNSELING CLINIC, LLC
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
557 HAMMOND ST
BANGOR, ME
ZIP 04401
Phone: (207) 973-0505
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DIRIGO COUNSELING CLINIC, LLC is a community behavioral health in Bangor, ME. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. DIRIGO COUNSELING CLINIC, LLC NPI is 1295734085. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

557 HAMMOND ST
BANGOR, ME
ZIP 04401-511
Phone: (207) 973-0505
Fax: (207) 942-2175

The provider's authorized official is Alan Algee .
The authorized official title is Executive Director and has the following contact phone number (207) 973-0505.

The enumeration date for this NPI number is 7/14/2005 and was last updated on 10/23/2016.


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
1101YP2500XCounselorProfessional527039MAINENo
2101YA0400XCounselorAddiction (Substance Use Disorder)600402MAINENo
3251S00000XCommunity/Behavioral Health527039MAINEYes

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
1432471100MEDICAIDMAINE
2E100143323MEDICARE PINMAINE

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: 11/14/2023

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