FLOURISHING MIND COUNSELING LLC NPI 1922601665

NPI Information

NPI: 1922601665
Provider Name: FLOURISHING MIND COUNSELING, LLC
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
57 EXCHANGE ST STE 203
PORTLAND, ME
ZIP 04101
Phone: (603) 566-6133
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FLOURISHING MIND COUNSELING, LLC is a mental health (including community mental health center) clinic center in Portland, ME. FLOURISHING MIND COUNSELING, LLC NPI is 1922601665. The provider is registered as an organization entity type.

The provider's business location address is:

57 EXCHANGE ST STE 203
PORTLAND, ME
ZIP 04101-000
Phone: (603) 566-6133
Fax: (207) 407-7223

The provider's authorized official is Katherine J Stein .
The authorized official title is Psychotherapist/owner and has the following contact phone number (603) 566-6133.

The enumeration date for this NPI number is 11/17/2020 and was last updated on 11/20/2020.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes
2	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder			No

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	1093263154	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: 4/28/2024

NPI Synchronization or Removal

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