Provider Demographics
NPI:1164291597
Name:BEHAVIORAL MANAGEMENT ASSOCIATES
Entity Type:Organization
Organization Name:BEHAVIORAL MANAGEMENT ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:P
Authorized Official - Last Name:CARRIER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:207-837-7603
Mailing Address - Street 1:87 ESSEX ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-6678
Mailing Address - Country:US
Mailing Address - Phone:207-837-7603
Mailing Address - Fax:
Practice Address - Street 1:87 ESSEX ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6678
Practice Address - Country:US
Practice Address - Phone:207-837-7603
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-27
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty