Goodwill Industries Of Northern New England in Portland - Group Psychotherapy
Goodwill Industries Of Northern New England - NPI 1588785463
Goodwill Industries Of Northern New England is a Group Psychotherapy in Portland, Maine. Goodwill Industries Of Northern New England practices all healthcare services and medical treatments related to Group Psychotherapy. The NPI Number for Goodwill Industries Of Northern New England is 1588785463. The last update date is 2014-07-22.
Goodwill Industries Of Northern New England's current location address is 75 Washington Avenue, Portland, Maine. You can contact this provider via phone number 2077746323 and fax number 2077618460. The mailing address for Goodwill Industries Of Northern New England is 75 Washington Avenue, Portland, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Goodwill Industries Of Northern New England |
|---|---|
| Address | 75 Washington Avenue, Portland, Maine |
| Phone Number | 2077746323 |
| Fax Number | 2077618460 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | SENIOR DIR |
|---|---|
| Authorized Official Name | Adams Sharlene |
| Credentials | CBIST, LSX |
| Telephone Number | 2077956110 |
NPI Number Detail
| NPI Number | 1588785463 |
|---|---|
| Provider Enumeration Date | 2007-04-02 |
| Last Updated Date | 2014-07-22 |
Provider Mailing Address Detail
| Address | 75 Washington Avenue |
|---|---|
| City | Portland |
| State | Maine (ME) |
| Post Code | 4101 |
| Phone Number | 2077746323 |
| Fax Number | 2077618460 |
Provider's Primary Taxonomy Detail
| Speciality | Group Psychotherapy |
|---|---|
| Taxonomy | 103Tp2701X |
|
Definition: A psychologist who specializes in group psychology and group psychotherapy that is an evidenced-based specialty that prepares group leaders to identify and capitalize on developmental and healing possibilities embedded in the interpersonal/intraperso |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104490002 | ME | -- | |
| 104490100 | ME | -- | |
| 104490300 | ME | -- | |
| 104490303 | ME | -- | |
| 104490000 | ME | -- | |
| 104490200 | ME | -- | |
| 104490001 | ME | -- | |
| 104490301 | ME | -- | |
| 104490201 | ME | -- | |
| 104490302 | ME | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Goodwill Industries Of Northern New England by the Centers for Medicare & Medicaid Services?
The Goodwill Industries Of Northern New England has been assigned the NPI (National Provider Identifier) 1588785463. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Goodwill Industries Of Northern New England is located?
The Goodwill Industries Of Northern New England is situated at the following address: 75 Washington Avenue, Portland, ME, 4101.
What is Goodwill Industries Of Northern New England's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Goodwill Industries Of Northern New England is Group Psychotherapy, and the taxonomy code that categorizes this field of expertise is 103Tp2701X.
On what date did the Goodwill Industries Of Northern New England receive the assignment of its 1588785463 from the Centers for Medicare & Medicaid Services?
The Goodwill Industries Of Northern New England was issued its 1588785463 by the Centers for Medicare & Medicaid Services on 2007-04-02.
As of what date was the information pertaining to Goodwill Industries Of Northern New England, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Goodwill Industries Of Northern New England, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2014-07-22.
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