Active NPIIndividual providerSole proprietor

Charles Ball, LCPC

Counselor, Mental Health in Bangor, Maine

NPI Number1083948756
Practice location
91 Crestmont RD, Bangor, ME 04401-5811
Fax
—
Last updated
January 8, 2023

Charles Ball is a Counselor, Mental Health based in Bangor, ME. Charles Ball practices in Bangor, ME and has the professional credentials of LCPC. The NPI Number for Charles Ball is 1083948756 and holds a License No. CC4970 (ME). The current practice location address for Charles Ball is 91 Crestmont RD, Bangor, ME 04401-5811 and can be reached out via phone at 505-819-7678.

Provider Profile Details

NPI Number
1083948756
Provider Name
Charles Ball
Credential
LCPC
Provider Entity Type
Individual
Gender
Male
Address
91 Crestmont RD, Bangor, ME 04401-5811
Phone Number
505-819-7678
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
September 28, 2009
Last Update Date
January 8, 2023
Certification Date
December 30, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
91 Crestmont RD
Bangor, ME 04401-5811
City
Bangor
State
Maine
Zip
04401-5811
Phone Number
505-819-7678
Bangor, ME 04401Get directions →

Provider Business Mailing Address Details

Address
91 Crestmont RD
Bangor, ME 04401-5811
City
Bangor
State
ME
Zip
04401-5811
Phone Number
505-819-7678

License Information

License Number (1)
CC4970
License State (1)
ME
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
0126121
License State (2)
NM
Taxonomy (2)
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Charles Ball, LCPC?

The NPI number of Charles Ball, LCPC is 1083948756. It was assigned on September 28, 2009 and is currently active in the NPPES registry.

What is the specialty of Charles Ball, LCPC?

Charles Ball, LCPC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in ME under license number CC4970.

Where does Charles Ball, LCPC practice?

The practice location is 91 Crestmont RD, Bangor, ME 04401-5811. The office can be reached at 505-819-7678 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083948756 directly on the NPPES registry website.

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