Organization · NPI-2

Mt Counseling, LLC

Clinic/Center, Adult Mental Health · Brunswick, ME

NPI number1992531081
StatusActive
Last updated in NPPESSep 13, 2024

Details

NPI
1992531081
Entity type
Organization (NPI-2)
Legal business name
Mt Counseling, LLC
Organization subpart
No
Enumeration date
Sep 13, 2024
Certification date
Sep 13, 2024
Last updated
Sep 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0850X Clinic/Center, Adult Mental Health––Yes

Practice location

98 Maine St Ste 11a
Brunswick, ME 04011-2031

Phone 207-720-0653

Mailing address

Po Box 77
Pownal, ME 04069-0077

Authorized official

Matthew Tiffany
Psychotherapist
2077200653

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