Provider Demographics
NPI:1871863753
Name:CRAIN & LAWRENCE P.A.
Entity Type:Organization
Organization Name:CRAIN & LAWRENCE P.A.
Other - Org Name:MAINE STREET COUNSELING SERVICES AND CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:E
Authorized Official - Last Name:CRAIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-688-4494
Mailing Address - Street 1:209 CHADSEY RD
Mailing Address - Street 2:
Mailing Address - City:POWNAL
Mailing Address - State:ME
Mailing Address - Zip Code:04069-6054
Mailing Address - Country:US
Mailing Address - Phone:207-688-4494
Mailing Address - Fax:207-688-6515
Practice Address - Street 1:209 CHADSEY RD
Practice Address - Street 2:
Practice Address - City:POWNAL
Practice Address - State:ME
Practice Address - Zip Code:04069-6054
Practice Address - Country:US
Practice Address - Phone:207-688-4494
Practice Address - Fax:207-688-6515
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-09
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty