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Mr. Lee Todd Lacks, LCPC-C,MT-BC
Community/Behavioral Health Agency in South Portland, Maine
NPI 1285918383

Lee Todd Lacks is a Community/Behavioral Health Agency based in South Portland, ME. Lee Todd Lacks practices in South Portland, ME and has the professional credentials of LCPC-C,MT-BC. The NPI Number for Lee Todd Lacks is 1285918383 and holds a License No. XL3782 (Maine).

The current practice location address for Lee Todd Lacks is 9 Lemont Ave, South Portland, ME and can be reached out via phone at 207-210-6045.

Location: 9 Lemont Ave, South Portland, ME, 04106-5717
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285918383
Provider Name
Lee Todd Lacks
Credential
LCPC-C,MT-BC
Provider Entity Type
Individual
Gender
Male
Address
9 Lemont Ave, South Portland, ME, 04106-5717
Phone Number
207-210-6045
Fax Number
Provider Enumeration Date
10/06/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9 Lemont Ave
City
South Portland
State
Maine
Zip
04106-5717
Phone Number
207-210-6045
Fax Number
person
Provider Business Mailing Address Details
Address
9 Lemont Ave
City
South Portland
State
Maine
Zip
04106-5717
Phone Number
207-210-6045
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Day Training, Developmentally Disabled Services
Speciality
-
Taxonomy
251C00000X
License No.
XL3782 (Maine)
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
XL3782 (Maine)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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