NEXT STEP DOMESTIC VIOLENCE PROJECT NPI 1073037099

NPI Information

NPI: 1073037099
Provider Name: NEXT STEP DOMESTIC VIOLENCE PROJECT
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
733 BANGOR RD
ELLSWORTH, ME
ZIP 04605
Phone: (207) 667-0176
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NEXT STEP DOMESTIC VIOLENCE PROJECT is a mental health (including community mental health center) clinic center in Ellsworth, ME. NEXT STEP DOMESTIC VIOLENCE PROJECT NPI is 1073037099. The provider is registered as an organization entity type.

The provider's business location address is:

733 BANGOR RD
ELLSWORTH, ME
ZIP 04605-580
Phone: (207) 667-0176
Fax: (207) 667-8033

The provider's authorized official is Dorathy Martell .
The authorized official title is Executive Director and has the following contact phone number (207) 667-0176.

The enumeration date for this NPI number is 8/1/2017 and was last updated on 8/1/2017.

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)	XL-4560	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	XL-4560	OTHER	MAINE	LCPC-C LICENSE NUMBER

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: 5/5/2024

NPI Synchronization or Removal

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