Konalife, LLC, PA
Nurse Practitioner, Psych/Mental Health in Mount Desert, Maine
1457291619- Practice location
- 1049 Main St Unit 2S, Mount Desert, ME 04660-6318
- Phone
- 207-244-4111
- Fax
- —
- Last updated
- March 30, 2026
Konalife, LLC, PA is a healthcare organization based in Mount Desert, ME. Konalife, LLC, PA practices in Mount Desert, ME. The NPI Number for Konalife, LLC, PA is 1457291619. The current practice location address for Konalife, LLC, PA is 1049 Main St Unit 2S, Mount Desert, ME 04660-6318 and can be reached out via phone at 207-244-4111.
Provider Profile Details
- NPI Number
- 1457291619
- Provider Name
- Konalife, LLC, PA
- Provider Entity Type
- Organization
- Address
- 1049 Main St Unit 2S, Mount Desert, ME 04660-6318
- Phone Number
- 207-244-4111
- Primary Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Organization Subpart
- No
- Authorized Official
- Kati Derevere · Owner · 207-479-2583
- Provider Enumeration Date
- March 30, 2026
- Last Update Date
- March 30, 2026
- Certification Date
- March 30, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1049 Main St Unit 2S
Mount Desert, ME 04660-6318 - City
- Mount Desert
- State
- Maine
- Zip
- 04660-6318
- Phone Number
- 207-244-4111
Provider Business Mailing Address Details
- Address
- Po Box 687
Mount Desert, ME 04660-0687 - City
- Mount Desert
- State
- ME
- Zip
- 04660-0687
License Information
- Taxonomy
- Nurse Practitioner, Psych/Mental Health · 363LP0808X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Nurse Practitioner, Psych/Mental Health providers near Mount Desert, ME
View all Nurse Practitioner, Psych/Mental Health providers in Mount Desert →- Acadia Psychiatry PLLCNurse Practitioner, Psych/Mental Health · NPI 1548031834
- Emily JohnsonNurse Practitioner, Psych/Mental Health · NPI 1285585331
- Miss Kati M Derevere, PMHNPNurse Practitioner, Psych/Mental Health · NPI 1861770166
- Georgia M HowlandCounselor, Mental Health · NPI 1386549699
- Dr. Eliza S Homer, PHD, LCPC, ATR-BCCounselor, Mental Health · NPI 1669091898
- Dr. Daniel Johnson, PHD, LCPCCounselor, Professional · NPI 1659423119
Frequently Asked Questions
What is the NPI number of Konalife, LLC, PA?
The NPI number of Konalife, LLC, PA is 1457291619. It was assigned on March 30, 2026 and is currently active in the NPPES registry.
What is the specialty of Konalife, LLC, PA?
Konalife, LLC, PA is registered under the primary taxonomy Nurse Practitioner, Psych/Mental Health (code 363LP0808X).
Where does Konalife, LLC, PA practice?
The practice location is 1049 Main St Unit 2S, Mount Desert, ME 04660-6318. The office can be reached at 207-244-4111 (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 1457291619 directly on the NPPES registry website.