Provider Demographics
NPI:1649355728
Name:ECHO CENTER
Entity type:Organization
Organization Name:ECHO CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:
Authorized Official - Last Name:KAPLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, LCPC
Authorized Official - Phone:207-688-8622
Mailing Address - Street 1:60 PINELAND DR
Mailing Address - Street 2:SUITE 310
Mailing Address - City:NEW GLOUCESTER
Mailing Address - State:ME
Mailing Address - Zip Code:04260-5124
Mailing Address - Country:US
Mailing Address - Phone:207-688-8622
Mailing Address - Fax:207-688-8622
Practice Address - Street 1:60 PINELAND DR
Practice Address - Street 2:SUITE 310
Practice Address - City:NEW GLOUCESTER
Practice Address - State:ME
Practice Address - Zip Code:04260-5124
Practice Address - Country:US
Practice Address - Phone:207-688-8622
Practice Address - Fax:207-688-8622
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC 1647101YP2500X
MEMF1594106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME100579OtherANTHEM
ME2007603OtherCIGNA
ME11583591OtherCAQH