Provider Demographics
NPI:1629388657
Name:SEILER, VIOLETA Q
Entity Type:Individual
Prefix:
First Name:VIOLETA
Middle Name:Q
Last Name:SEILER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1511
Mailing Address - Street 2:144 MILITARY ST.
Mailing Address - City:HOULTON
Mailing Address - State:ME
Mailing Address - Zip Code:04730-5511
Mailing Address - Country:US
Mailing Address - Phone:207-532-9906
Mailing Address - Fax:207-521-0900
Practice Address - Street 1:144 MILITARY ST
Practice Address - Street 2:
Practice Address - City:HOULTON
Practice Address - State:ME
Practice Address - Zip Code:04730-2508
Practice Address - Country:US
Practice Address - Phone:207-532-9906
Practice Address - Fax:207-521-0900
Is Sole Proprietor?:No
Enumeration Date:2010-10-08
Last Update Date:2011-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
MELSX12924104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No171M00000XOther Service ProvidersCase Manager/Care Coordinator