Life By Design, Pa in Presque Isle - Clinical
Life By Design, Pa - NPI 1053345918
Life By Design, Pa is a Clinical in Presque Isle, Maine. Life By Design, Pa practices all healthcare services and medical treatments related to Clinical. The NPI Number for Life By Design, Pa is 1053345918. The last update date is 2023-06-20.
Life By Design, Pa's current location address is 147 Academy St, Presque Isle, Maine. You can contact this provider via phone number 2077646825 and fax number 2077646077. The mailing address for Life By Design, Pa is 147 Academy St, Presque Isle, Maine. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Life By Design, Pa |
|---|---|
| Address | 147 Academy St, Presque Isle, Maine |
| Phone Number | 2077646825 |
| Fax Number | 2077646077 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF EXEC |
|---|---|
| Authorized Official Name | Gray A Deborah |
| Credentials | LCSW, MHRT |
| Telephone Number | 2077646825 |
NPI Number Detail
| NPI Number | 1053345918 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2023-06-20 |
Provider Mailing Address Detail
| Address | 147 Academy St |
|---|---|
| City | Presque Isle |
| State | Maine (ME) |
| Post Code | 47693101 |
| Phone Number | 2077646825 |
| Fax Number | 2077646077 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 429704 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 163520000 | ME | -- | |
| 163520100 | ME | -- | |
| 163520001 | ME | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Life By Design, Pa by the Centers for Medicare & Medicaid Services?
The Life By Design, Pa has been assigned the NPI (National Provider Identifier) 1053345918 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Life By Design, Pa?
The Life By Design, Pa is situated at 147 Academy St, in the city of Presque Isle, state of ME, with the zip code 47693101.
What is Life By Design, Pa's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Life By Design, Pa is Clinical, and the taxonomy code that classifies this field of practice is 1041C0700X.
On what date was the 1053345918 assigned to Life By Design, Pa?
The Life By Design, Pa was issued its 1053345918 on 2006-07-10, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Life By Design, Pa, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Life By Design, Pa, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-06-20.