Provider Demographics
NPI:1639861107
Name:FOUR PEAKS COUNSELING
Entity Type:Organization
Organization Name:FOUR PEAKS COUNSELING
Other - Org Name:FOUR PEAKS COUNSELING, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MCARTHUR
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC-CONDITIONAL
Authorized Official - Phone:207-390-1975
Mailing Address - Street 1:47 WINTER ST
Mailing Address - Street 2:
Mailing Address - City:WATERVILLE
Mailing Address - State:ME
Mailing Address - Zip Code:04901-7336
Mailing Address - Country:US
Mailing Address - Phone:207-390-1975
Mailing Address - Fax:
Practice Address - Street 1:88 MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:WATERVILLE
Practice Address - State:ME
Practice Address - Zip Code:04901-6602
Practice Address - Country:US
Practice Address - Phone:207-902-8767
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-23
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No251S00000XAgenciesCommunity/Behavioral Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health