Provider Demographics
NPI:1811470826
Name:MIDCOAST COUNSELING & SENIOR SERVICES, LLC
Entity type:Organization
Organization Name:MIDCOAST COUNSELING & SENIOR SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGGUS
Authorized Official - Middle Name:
Authorized Official - Last Name:YAHR
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:207-210-4490
Mailing Address - Street 1:25 FELDSPAR CIR
Mailing Address - Street 2:
Mailing Address - City:TOPSHAM
Mailing Address - State:ME
Mailing Address - Zip Code:04086-5544
Mailing Address - Country:US
Mailing Address - Phone:207-210-4490
Mailing Address - Fax:
Practice Address - Street 1:439 LEWISTON RD
Practice Address - Street 2:
Practice Address - City:TOPSHAM
Practice Address - State:ME
Practice Address - Zip Code:04086-6186
Practice Address - Country:US
Practice Address - Phone:207-210-4490
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)