Provider Demographics
NPI:1184457442
Name:SUNSTONE COUNSELING AND CONSULTATION LLC
Entity type:Organization
Organization Name:SUNSTONE COUNSELING AND CONSULTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:LALIBERTE
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC
Authorized Official - Phone:207-440-7371
Mailing Address - Street 1:63 WILKINS RD
Mailing Address - Street 2:
Mailing Address - City:GREENE
Mailing Address - State:ME
Mailing Address - Zip Code:04236-3318
Mailing Address - Country:US
Mailing Address - Phone:207-689-8709
Mailing Address - Fax:
Practice Address - Street 1:63 WILKINS RD
Practice Address - Street 2:
Practice Address - City:GREENE
Practice Address - State:ME
Practice Address - Zip Code:04236-3318
Practice Address - Country:US
Practice Address - Phone:207-689-8709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-22
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty