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CLINICAL CONSULTATION & COUNSELING P.A. NPI 1831416783


NPI Information

NPI: 1831416783
Provider Name: CLINICAL CONSULTATION & COUNSELING, P.A.

Doing Business As: CLINICAL CONSULTATION & COUNSELING

Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
26 RIVER ST
2ND FLOOR
DOVER FOXCROFT, ME
ZIP 04426
Phone: (207) 564-0026
Get Directions

CLINICAL CONSULTATION & COUNSELING, P.A. is a mental health (including community mental health center) clinic center in Dover Foxcroft, ME. CLINICAL CONSULTATION & COUNSELING, P.A. NPI is 1831416783. The provider is registered as an organization entity type.
The provider Is Doing Business As Clinical Consultation & Counseling.

The provider's business location address is:

26 RIVER ST
2ND FLOOR
DOVER FOXCROFT, ME
ZIP 04426-321
Phone: (207) 564-0026
Fax: (877) 822-7919

The provider's authorized official is David Arthur Goolsby .
The authorized official title is President and has the following contact phone number (207) 564-0026.

The enumeration date for this NPI number is 4/30/2010 and was last updated on 4/30/2010.


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
1261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ME1205MEDICARE PINMAINE
2431819099MEDICAIDMAINE

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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