NOEL EDWARD THIBODEAU NPI 1063052157

NPI Information

  • NPI: 1063052157
  • Provider Name: NOEL EDWARD THIBODEAU
  • Classification: Counselor - 101Y00000X
  • Entity Type: Individual
  • Address: 181 CORPORATE DR
    BANGOR, ME
    ZIP 04401
  • Phone: (207) 992-2636

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NPI Details

Noel Edward Thibodeau is a counselor in Bangor, 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. Noel Edward Thibodeau NPI is 1063052157. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

181 CORPORATE DR
BANGOR, ME
ZIP 04401-314
Phone: (207) 992-2636

The enumeration date for this NPI number is 1/7/2020 and was last updated on 1/7/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101Y00000XCounselorCAC6839MAINEYes

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: 11/21/2025

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