Amy Marie Davenport in Bangor - Mental Health
Amy Marie Davenport - NPI 1376623652
Amy Marie Davenport is a Mental Health in Bangor, Maine. Amy Marie Davenport practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Amy Marie Davenport is 1376623652. The last update date is 2014-07-29.
Amy Marie Davenport's current location address is 175 Union St, Bangor, Maine. You can contact this provider via phone number 2079410010 and fax number 8889771570. The mailing address for Amy Marie Davenport is 175 Union St, Bangor, Maine. To know further, please read the information below!
Provider Profile Detail
Provider Name | Amy Marie Davenport |
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Address | 175 Union St, Bangor, Maine |
Phone Number | 2079410010 |
Fax Number | 8889771570 |
Sole Proprietor | N |
Credentials | LCPC |
NPI Number Detail
NPI Number | 1376623652 |
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Provider Enumeration Date | 2006-10-17 |
Last Updated Date | 2014-07-29 |
Provider Mailing Address Detail
Address | 175 Union St |
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City | Bangor |
State | Maine (ME) |
Post Code | 44016100 |
Phone Number | 2079410010 |
Fax Number | 8889771570 |
Provider's Primary Taxonomy Detail
Speciality | Mental Health |
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Taxonomy | 101Ym0800X |
Licence No | 2166 |
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
266310000 | ME | -- |
Post Comment/ Review Below
What is the Amy Marie Davenport's unique identification number?
The Amy Marie Davenport has been assigned the NPI (National Provider Identifier) Number 1376623652 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Amy Marie Davenport's facilities are situated?
The facilities of Amy Marie Davenport are physically located at the following address: 175 Union St, Bangor, ME, 44016100.
What is Amy Marie Davenport's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Amy Marie Davenport is Mental Health, and the taxonomy classification code that categorizes this area of expertise is 101Ym0800X.
On what date did the Amy Marie Davenport receive the assignment of its 1376623652 from the Centers for Medicare & Medicaid Services?
The Amy Marie Davenport was issued its 1376623652 by the Centers for Medicare & Medicaid Services on 2006-10-17.
When was the information pertaining to Amy Marie Davenport most recently updated or revised?
The details related to Amy Marie Davenport, including its address, specialty, and other relevant information, were last updated or revised on 2014-07-29.
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