MAINE MATERNAL LLC NPI 1427602655

NPI Information

NPI: 1427602655
Provider Name: MAINE MATERNAL LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
52 BOLTON ST
PORTLAND, ME
ZIP 04102
Phone: (207) 479-7841
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MAINE MATERNAL 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. MAINE MATERNAL LLC NPI is 1427602655. The provider is registered as an organization entity type.

The provider's business location address is:

52 BOLTON ST
PORTLAND, ME
ZIP 04102-502
Phone: (207) 479-7841

The provider's authorized official is Mallory Zwerdling .
The authorized official title is Owner and has the following contact phone number (207) 479-7841.

The enumeration date for this NPI number is 7/25/2019 and was last updated on 1/31/2020.

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	Primary
1	251S00000X	Community/Behavioral Health		No
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	261QM0850X	Clinic/Center	Adult Mental Health	Yes
4	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No

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

NPI Synchronization or Removal

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