Provider Demographics
NPI:1093581381
Name:ASPIRING RESILIENCE, LLC
Entity Type:Organization
Organization Name:ASPIRING RESILIENCE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOLYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:NADEAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-694-3069
Mailing Address - Street 1:249 BACK RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-6420
Mailing Address - Country:US
Mailing Address - Phone:207-694-6115
Mailing Address - Fax:
Practice Address - Street 1:23 COURT ST STE 2
Practice Address - Street 2:
Practice Address - City:HOULTON
Practice Address - State:ME
Practice Address - Zip Code:04730-1746
Practice Address - Country:US
Practice Address - Phone:207-694-3069
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-28
Last Update Date:2023-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171M00000XOther Service ProvidersCase Manager/Care CoordinatorGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty