Provider Demographics
NPI:1932306214
Name:ADVENTURE COUNSELING
Entity Type:Organization
Organization Name:ADVENTURE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HAROLD
Authorized Official - Middle Name:T
Authorized Official - Last Name:STEWART
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW,LADC,CCS
Authorized Official - Phone:207-793-4933
Mailing Address - Street 1:4 CENTRAL AVENUE
Mailing Address - Street 2:P.O. BOX 91
Mailing Address - City:LIMERICK
Mailing Address - State:ME
Mailing Address - Zip Code:04048-0091
Mailing Address - Country:US
Mailing Address - Phone:207-793-4933
Mailing Address - Fax:
Practice Address - Street 1:4 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LIMERICK
Practice Address - State:ME
Practice Address - Zip Code:04048-3211
Practice Address - Country:US
Practice Address - Phone:207-793-4933
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME545901251S00000X
ME489608251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health