Theresa E Petrosky, LCPC
Counselor in Damariscotta, Maine
1275187080- Practice location
- 35 Miles St, Damariscotta, ME 04543-4047
- Phone
- 207-563-1234
- Fax
- —
- Last updated
- August 24, 2022
Theresa Elizabeth Petrosky is a Counselor based in Damariscotta, ME. Theresa Elizabeth Petrosky practices in Damariscotta, ME and has the professional credentials of LCPC. The NPI Number for Theresa Elizabeth Petrosky is 1275187080 and holds a License No. 10200 (OK). The current practice location address for Theresa Elizabeth Petrosky is 35 Miles St, Damariscotta, ME 04543-4047 and can be reached out via phone at 207-563-1234.
Provider Profile Details
- NPI Number
- 1275187080
- Provider Name
- Theresa Elizabeth Petrosky
- Credential
- LCPC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 35 Miles St, Damariscotta, ME 04543-4047
- Phone Number
- 207-563-1234
- Primary Taxonomy
- Counselor · 101Y00000X
- Sole Proprietor
- Yes
- Other Names
- Theresa Elizabeth Jordan (Former Name)
- Provider Enumeration Date
- July 30, 2019
- Last Update Date
- August 24, 2022
- Certification Date
- August 24, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 35 Miles St
Damariscotta, ME 04543-4047 - City
- Damariscotta
- State
- Maine
- Zip
- 04543-4047
- Phone Number
- 207-563-1234
Provider Business Mailing Address Details
- Address
- 11036 Folkstone Dr # Ok
Yukon, OK 73099-8050 - City
- Yukon
- State
- OK
- Zip
- 73099-8050
- Phone Number
- 405-922-6695
License Information
- License Number (1)
- 10200
- License State (1)
- OK
- Taxonomy (1)
- Counselor, Mental Health · 101YM0800X
- License Number (2)
- CC6723
- License State (2)
- ME
- Taxonomy (2)
- Counselor · 101Y00000X · 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 Theresa E Petrosky, LCPC?
The NPI number of Theresa E Petrosky, LCPC is 1275187080. It was assigned on July 30, 2019 and is currently active in the NPPES registry.
What is the specialty of Theresa E Petrosky, LCPC?
Theresa E Petrosky, LCPC is registered under the primary taxonomy Counselor (code 101Y00000X), licensed in OK under license number 10200.
Where does Theresa E Petrosky, LCPC practice?
The practice location is 35 Miles St, Damariscotta, ME 04543-4047. The office can be reached at 207-563-1234 (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 1275187080 directly on the NPPES registry website.