Provider Demographics
NPI:1407725120
Name:LONE PINE COUNSELING
Entity type:Organization
Organization Name:LONE PINE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MICAH
Authorized Official - Middle Name:BILLINGS COLE
Authorized Official - Last Name:RAYMOND
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC-C/LADC
Authorized Official - Phone:207-852-7193
Mailing Address - Street 1:20 PINE TREE RD
Mailing Address - Street 2:
Mailing Address - City:BREWER
Mailing Address - State:ME
Mailing Address - Zip Code:04412-5308
Mailing Address - Country:US
Mailing Address - Phone:207-852-7193
Mailing Address - Fax:
Practice Address - Street 1:20 PINE TREE RD
Practice Address - Street 2:
Practice Address - City:BREWER
Practice Address - State:ME
Practice Address - Zip Code:04412-5308
Practice Address - Country:US
Practice Address - Phone:207-852-7193
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-31
Last Update Date:2025-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health