BEHAVIORAL HEALTH RESOURCES OF MAINE INC NPI 1811303373

NPI Information

NPI: 1811303373
Provider Name: BEHAVIORAL HEALTH RESOURCES OF MAINE INC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Organization

Specialization: Psychiatric/Mental Health

Address:
305 COMMERCIAL ST STE 103
PORTLAND, ME
ZIP 04101
Phone: (207) 808-1384
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BEHAVIORAL HEALTH RESOURCES OF MAINE INC is a psychiatric/mental health nurse practitioner in Portland, ME. BEHAVIORAL HEALTH RESOURCES OF MAINE INC NPI is 1811303373. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

305 COMMERCIAL ST STE 103
PORTLAND, ME
ZIP 04101-641
Phone: (207) 808-1384
Fax: (207) 767-6595

The provider's authorized official is Constance W Jordan .
The authorized official title is Ceo and has the following contact phone number (207) 808-1384.

The enumeration date for this NPI number is 7/6/2014 and was last updated on 10/15/2020.

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
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	LC2233	MAINE	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	CNP81017	MAINE	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	METPID005674	MEDICAID	MAINE

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

NPI Synchronization or Removal

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