Provider Demographics
NPI:1679172118
Name:ACORN & OAK LLC
Entity Type:Organization
Organization Name:ACORN & OAK LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:PENELOPE
Authorized Official - Middle Name:FAITH
Authorized Official - Last Name:SNOW
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-614-4108
Mailing Address - Street 1:5 FLETCHER ST STE 202
Mailing Address - Street 2:
Mailing Address - City:KENNEBUNK
Mailing Address - State:ME
Mailing Address - Zip Code:04043-6705
Mailing Address - Country:US
Mailing Address - Phone:207-614-4108
Mailing Address - Fax:207-517-5305
Practice Address - Street 1:5 FLETCHER ST STE 202
Practice Address - Street 2:
Practice Address - City:KENNEBUNK
Practice Address - State:ME
Practice Address - Zip Code:04043-6705
Practice Address - Country:US
Practice Address - Phone:207-614-4108
Practice Address - Fax:207-517-5305
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-24
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)