PHOENIX MENTAL HEALTH SERVICES LLC NPI 1831200575

NPI Information

NPI: 1831200575
Provider Name: PHOENIX MENTAL HEALTH SERVICES, LLC
Classification: Public Health or Welfare - 251K00000X
Entity Type: Organization
Address:
444 STILLWATER AVE
SUITE 202
BANGOR, ME
ZIP 04401
Phone: (207) 941-1113
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PHOENIX MENTAL HEALTH SERVICES, LLC is a public health or welfare in Bangor, ME. PHOENIX MENTAL HEALTH SERVICES, LLC NPI is 1831200575. The provider is registered as an organization entity type.

The provider's business location address is:

444 STILLWATER AVE
SUITE 202
BANGOR, ME
ZIP 04401-500
Phone: (207) 941-1113
Fax: (207) 941-1134

The provider's authorized official is Barbara Kerrigan .
The authorized official title is Executive Director and has the following contact phone number (207) 941-1113.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 8/22/2020.

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	251K00000X	Public Health or Welfare		492121	MAINE	No
2	251K00000X	Public Health or Welfare		468197	MAINE	Yes

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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