Provider Demographics
NPI:1619146560
Name:GENERATIONS COUNSELING PA
Entity Type:Organization
Organization Name:GENERATIONS COUNSELING PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LUANNE
Authorized Official - Middle Name:STARR
Authorized Official - Last Name:RHOADES
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LADC
Authorized Official - Phone:207-777-5900
Mailing Address - Street 1:444 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-6737
Mailing Address - Country:US
Mailing Address - Phone:207-777-5900
Mailing Address - Fax:207-777-5900
Practice Address - Street 1:444 MAIN ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-6737
Practice Address - Country:US
Practice Address - Phone:207-777-5900
Practice Address - Fax:207-777-5900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-25
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC2560101YA0400X
MECC2030101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty