Provider Demographics
NPI:1326610205
Name:HORMONIOUS HEALTH LLC
Entity Type:Organization
Organization Name:HORMONIOUS HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NP/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:AMBERYN
Authorized Official - Last Name:MATHURIN
Authorized Official - Suffix:
Authorized Official - Credentials:APNP
Authorized Official - Phone:207-492-4882
Mailing Address - Street 1:8 JESSE ROBBINS RD STE E
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-7510
Mailing Address - Country:US
Mailing Address - Phone:207-492-4882
Mailing Address - Fax:207-255-7204
Practice Address - Street 1:8 JESSE ROBBINS RD STE E
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915-7510
Practice Address - Country:US
Practice Address - Phone:207-492-4882
Practice Address - Fax:207-255-7204
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service