- Practice location
- 1250 Forest Ave, Portland Wellness Cooperative, Unit 14, Suite 7, Portland, ME 04103
- Phone
- 207-200-3789
- Fax
- —
- Last updated
- November 8, 2022
Rosalie Genova, Lcpc, Ccs is a healthcare organization based in Portland, ME. Rosalie Genova, Lcpc, Ccs practices in Portland, ME. The NPI Number for Rosalie Genova, Lcpc, Ccs is 1134837222. The current practice location address for Rosalie Genova, Lcpc, Ccs is 1250 Forest Ave, Portland Wellness Cooperative, Unit 14, Suite 7, Portland, ME 04103 and can be reached out via phone at 207-200-3789.
Provider Profile Details
- NPI Number
- 1134837222
- Provider Name
- Rosalie Genova, Lcpc, Ccs
- Provider Entity Type
- Organization
- Address
- 1250 Forest Ave, Portland Wellness Cooperative, Unit 14, Suite 7, Portland, ME 04103
- Phone Number
- 207-200-3789
- Primary Taxonomy
- Clinic/Center, Adult Mental Health · 261QM0850X
- Organization Subpart
- No
- Authorized Official
- Rosalie Genova, LCPC, CCS · Owner · 207-200-3789
- Provider Enumeration Date
- November 8, 2022
- Last Update Date
- November 8, 2022
- Certification Date
- November 4, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1250 Forest Ave
Portland Wellness Cooperative, Unit 14, Suite 7
Portland, ME 04103 - City
- Portland
- State
- Maine
- Zip
- 04103
- Phone Number
- 207-200-3789
Provider Business Mailing Address Details
- Address
- 1250 Forest Ave
Portland Wellness Cooperative, Unit 14, Suite 7
Portland, ME 04103 - City
- Portland
- State
- ME
- Zip
- 04103
License Information
- Taxonomy (1)
- Community/Behavioral Health · 251S00000X
- Taxonomy (2)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (3)
- Clinic/Center, Adult Mental Health · 261QM0850X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Rosalie Genova, Lcpc, Ccs?
The NPI number of Rosalie Genova, Lcpc, Ccs is 1134837222. It was assigned on November 8, 2022 and is currently active in the NPPES registry.
What is the specialty of Rosalie Genova, Lcpc, Ccs?
Rosalie Genova, Lcpc, Ccs is registered under the primary taxonomy Clinic/Center, Adult Mental Health (code 261QM0850X).
Where does Rosalie Genova, Lcpc, Ccs practice?
The practice location is 1250 Forest Ave, Portland Wellness Cooperative, Unit 14, Suite 7, Portland, ME 04103. The office can be reached at 207-200-3789 (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 1134837222 directly on the NPPES registry website.