Active NPIIndividual provider

Michael L Gervais, LCPC-CONDITIONAL

Counselor, Professional in Augusta, Maine

NPI Number1508978255
Practice location
66 Stone St, Augusta, ME 04330-5227
Fax
207-626-3612
Last updated
July 8, 2007

Michael Lawrence Gervais is a Counselor, Professional based in Augusta, ME. Michael Lawrence Gervais practices in Augusta, ME and has the professional credentials of LCPC-CONDITIONAL. The NPI Number for Michael Lawrence Gervais is 1508978255 and holds a License No. CC3046 (ME). The current practice location address for Michael Lawrence Gervais is 66 Stone St, Augusta, ME 04330-5227 and can be reached out via phone at 207-626-3455 and via fax at 207-626-3612.

Provider Profile Details

NPI Number
1508978255
Provider Name
Michael Lawrence Gervais
Credential
LCPC-CONDITIONAL
Provider Entity Type
Individual
Gender
Male
Address
66 Stone St, Augusta, ME 04330-5227
Phone Number
207-626-3455
Fax Number
207-626-3612
Primary Taxonomy
Counselor, Professional · 101YP2500X
Sole Proprietor
No
Provider Enumeration Date
August 31, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
66 Stone St
Augusta, ME 04330-5227
State
Maine
Zip
04330-5227
Phone Number
207-626-3455
Fax Number
207-626-3612
Augusta, ME 04330Get directions →

Provider Business Mailing Address Details

Address
66 Stone St
Augusta, ME 04330-5227
City
Augusta
State
ME
Zip
04330-5227
Phone Number
207-626-3455
Fax Number
207-626-3612

License Information

License Number
CC3046
License State
ME
Taxonomy
Counselor, Professional · 101YP2500X · 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 Michael L Gervais, LCPC-CONDITIONAL?

The NPI number of Michael L Gervais, LCPC-CONDITIONAL is 1508978255. It was assigned on August 31, 2006 and is currently active in the NPPES registry.

What is the specialty of Michael L Gervais, LCPC-CONDITIONAL?

Michael L Gervais, LCPC-CONDITIONAL is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in ME under license number CC3046.

Where does Michael L Gervais, LCPC-CONDITIONAL practice?

The practice location is 66 Stone St, Augusta, ME 04330-5227. The office can be reached at 207-626-3455 (phone) or 207-626-3612 (fax).

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 1508978255 directly on the NPPES registry website.

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