Active NPIIndividual providerSole proprietor

Dr. Eliza S Homer, PHD, LCPC, ATR-BC

Counselor, Mental Health in Mount Desert, Maine

NPI Number1669091898
Practice location
43 Driftwood Way, Mount Desert, ME 04660
Fax
207-333-3037
Last updated
May 1, 2023

Eliza S Homer is a Counselor, Mental Health based in Mount Desert, ME. Eliza S Homer practices in Mount Desert, ME and has the professional credentials of PHD, LCPC, ATR-BC. The NPI Number for Eliza S Homer is 1669091898 and holds a License No. 13820 (AZ). The current practice location address for Eliza S Homer is 43 Driftwood Way, Mount Desert, ME 04660 and can be reached out via phone at 509-679-6799 and via fax at 207-333-3037.

Provider Profile Details

NPI Number
1669091898
Provider Name
Eliza S Homer
Credential
PHD, LCPC, ATR-BC
Provider Entity Type
Individual
Gender
Female
Address
43 Driftwood Way, Mount Desert, ME 04660
Phone Number
509-679-6799
Fax Number
207-333-3037
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
April 8, 2020
Last Update Date
May 1, 2023
Certification Date
April 12, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
43 Driftwood Way
Mount Desert, ME 04660
State
Maine
Zip
04660
Phone Number
509-679-6799
Fax Number
207-333-3037
Mount Desert, ME 04660Get directions →

Provider Business Mailing Address Details

Address
Po Box 804
Southwest Harbor, ME 04679-0804
City
Southwest Harbor
State
ME
Zip
04679-0804
Phone Number
509-679-6799
Fax Number
207-333-3037

License Information

License Number (1)
13820
License State (1)
AZ
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
XL5350
License State (2)
ME
Taxonomy (2)
Counselor, Mental Health · 101YM0800X
License Number (3)
CC6758
License State (3)
ME
Taxonomy (3)
Counselor, Mental Health · 101YM0800X · 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 Dr. Eliza S Homer, PHD, LCPC, ATR-BC?

The NPI number of Dr. Eliza S Homer, PHD, LCPC, ATR-BC is 1669091898. It was assigned on April 8, 2020 and is currently active in the NPPES registry.

What is the specialty of Dr. Eliza S Homer, PHD, LCPC, ATR-BC?

Dr. Eliza S Homer, PHD, LCPC, ATR-BC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in AZ under license number 13820.

Where does Dr. Eliza S Homer, PHD, LCPC, ATR-BC practice?

The practice location is 43 Driftwood Way, Mount Desert, ME 04660. The office can be reached at 509-679-6799 (phone) or 207-333-3037 (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 1669091898 directly on the NPPES registry website.

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