Mandie Lasselle Riseman in Scarborough - Mental Health

Mandie Lasselle Riseman - NPI 1659483097

Mandie Lasselle Riseman is a Mental Health in Scarborough, Maine. Mandie Lasselle Riseman practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mandie Lasselle Riseman is 1659483097. The last update date is 2011-12-20.

Mandie Lasselle Riseman's current location address is 7 Oak Hill Terrace, Scarborough, Maine. You can contact this provider via phone number 2077565425 and fax number 2078741044. The mailing address for Mandie Lasselle Riseman is 7 Oak Hill Terrace, Scarborough, Maine. To know further, please read the information below!

Provider Profile Detail

Provider Name Mandie Lasselle Riseman
Address 7 Oak Hill Terrace, Scarborough, Maine
Phone Number 2077565425
Fax Number 2078741044
Sole Proprietor Y
Credentials LCSW

NPI Number Detail

NPI Number 1659483097
Provider Enumeration Date 2006-08-31
Last Updated Date 2011-12-20

Provider Mailing Address Detail

Address 7 Oak Hill Terrace
City Scarborough
State Maine (ME)
Post Code 4074
Phone Number 2077565425
Fax Number 2078741044

Provider's Primary Taxonomy Detail

Speciality Mental Health
Taxonomy 101Ym0800X
Licence No LC9956
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
267720099 ME --

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FAQs about Mandie Lasselle Riseman

What is the unique 10-digit identification code issued to Mandie Lasselle Riseman by the Centers for Medicare & Medicaid Services?

The Mandie Lasselle Riseman has been assigned the NPI (National Provider Identifier) 1659483097 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you provide the complete physical address where Mandie Lasselle Riseman is located?

The Mandie Lasselle Riseman is situated at the following address: 7 Oak Hill Terrace, Scarborough, ME, 4074.

What is Mandie Lasselle Riseman's area of expertise and its corresponding taxonomy classification?

The Mandie Lasselle Riseman's field of specialization is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1659483097 to Mandie Lasselle Riseman?

The Centers for Medicare & Medicaid Services originally issued the 1659483097 to Mandie Lasselle Riseman on 2006-08-31.

When was the Mandie Lasselle Riseman's information last updated?

The Mandie Lasselle Riseman's information was last updated on 2011-12-20.

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