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DANI FAZIO PSYCHOTHERAPY LLC NPI 1023649621


NPI Information

NPI: 1023649621
Provider Name: DANI FAZIO PSYCHOTHERAPY LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
57 EXCHANGE ST STE 203
PORTLAND, ME
ZIP 04101
Phone: (207) 618-6588
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DANI FAZIO PSYCHOTHERAPY LLC is an adult mental health clinic center in Portland, ME. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. DANI FAZIO PSYCHOTHERAPY LLC NPI is 1023649621. The provider is registered as an organization entity type.

The provider's business location address is:

57 EXCHANGE ST STE 203
PORTLAND, ME
ZIP 04101-000
Phone: (207) 618-6588
Fax: (207) 203-6480

The provider's authorized official is Danielle Fazio .
The authorized official title is Owner; Clinician and has the following contact phone number (207) 618-6588.

The enumeration date for this NPI number is 2/1/2020 and was last updated on 2/1/2020.


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
1261QM0850XClinic/CenterAdult Mental HealthYes

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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