Provider Demographics
NPI: | 1982592333 |
---|---|
Name: | MAINELY THERAPY |
Entity type: | Organization |
Organization Name: | MAINELY THERAPY |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | JESSICA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | BROWNE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 207-401-8743 |
Mailing Address - Street 1: | 225 MAIN ST UNIT 1665 |
Mailing Address - Street 2: | |
Mailing Address - City: | SACO |
Mailing Address - State: | ME |
Mailing Address - Zip Code: | 04072-7060 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 207-401-8743 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 225 MAIN ST UNIT 1665 |
Practice Address - Street 2: | |
Practice Address - City: | SACO |
Practice Address - State: | ME |
Practice Address - Zip Code: | 04072-7060 |
Practice Address - Country: | US |
Practice Address - Phone: | 207-401-8743 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-06-25 |
Last Update Date: | 2025-06-25 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 104100000X | Behavioral Health & Social Service Providers | Social Worker | Group - Multi-Specialty | |
No | 101YP2500X | Behavioral Health & Social Service Providers | Counselor | Professional | Group - Multi-Specialty |