Provider Demographics
NPI:1255933628
Name:RIVER TREE HEALTH PARTNERS, LLC
Entity type:Organization
Organization Name:RIVER TREE HEALTH PARTNERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL ANN
Authorized Official - Middle Name:CAPRINI
Authorized Official - Last Name:FAIGIN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:207-447-3007
Mailing Address - Street 1:10 STATE ROAD
Mailing Address - Street 2:SUITE 9 #1015
Mailing Address - City:BATH
Mailing Address - State:ME
Mailing Address - Zip Code:04530
Mailing Address - Country:US
Mailing Address - Phone:207-447-3007
Mailing Address - Fax:207-447-3007
Practice Address - Street 1:10 STATE ROAD
Practice Address - Street 2:SUITE 9 #1015
Practice Address - City:BATH
Practice Address - State:ME
Practice Address - Zip Code:04530
Practice Address - Country:US
Practice Address - Phone:207-447-3007
Practice Address - Fax:207-447-3007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-11
Last Update Date:2020-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME1801172887OtherNPI
ME1659631513OtherNPI