Provider Demographics
NPI:1013938950
Name:PARTNERS FOR CHANGE
Entity Type:Organization
Organization Name:PARTNERS FOR CHANGE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:REBEKKA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LADC, CCS, M/PSY
Authorized Official - Phone:207-338-6055
Mailing Address - Street 1:PO BOX 284
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-0284
Mailing Address - Country:US
Mailing Address - Phone:207-338-6055
Mailing Address - Fax:207-338-6038
Practice Address - Street 1:37 E TROUT LANE
Practice Address - Street 2:
Practice Address - City:BELFAST
Practice Address - State:ME
Practice Address - Zip Code:04915
Practice Address - Country:US
Practice Address - Phone:207-338-6055
Practice Address - Fax:207-338-6038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME388643101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty