- Practice location
- 157 Park St, Bangor, ME 04401-5093
- Phone
- 207-631-1536
- Fax
- 207-631-0524
- Last updated
- January 6, 2022
Wabanaki Public Health And Wellness is a healthcare organization based in Bangor, ME. Wabanaki Public Health And Wellness practices in Bangor, ME. The NPI Number for Wabanaki Public Health And Wellness is 1689335184. The current practice location address for Wabanaki Public Health And Wellness is 157 Park St, Bangor, ME 04401-5093 and can be reached out via phone at 207-631-1536 and via fax at 207-631-0524.
Provider Profile Details
- NPI Number
- 1689335184
- Provider Name
- Wabanaki Public Health And Wellness
- Provider Entity Type
- Organization
- Address
- 157 Park St, Bangor, ME 04401-5093
- Phone Number
- 207-631-1536
- Fax Number
- 207-631-0524
- Primary Taxonomy
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X
- Organization Subpart
- No
- Authorized Official
- Sharon Mae Jordan, LCSW · Director · 207-992-0411
- Provider Enumeration Date
- January 6, 2022
- Last Update Date
- January 6, 2022
- Certification Date
- January 6, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 157 Park St
Bangor, ME 04401-5093 - City
- Bangor
- State
- Maine
- Zip
- 04401-5093
- Phone Number
- 207-631-1536
- Fax Number
- 207-631-0524
Provider Business Mailing Address Details
- Address
- Po Box 1356
Bangor, ME 04402-1356 - City
- Bangor
- State
- ME
- Zip
- 04402-1356
- Phone Number
- 207-992-0411
- Fax Number
- 207-631-0524
License Information
- Taxonomy (1)
- Case Management · 251B00000X
- Taxonomy (2)
- Public Health or Welfare · 251K00000X
- Taxonomy (3)
- Community/Behavioral Health · 251S00000X
- Taxonomy (4)
- Clinic/Center, Mental Health (Including Community Mental Health Center) · 261QM0801X
- Taxonomy (5)
- Psychologist, Addiction (Substance Use Disorder) · 103TA0400X · 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 Wabanaki Public Health And Wellness?
The NPI number of Wabanaki Public Health And Wellness is 1689335184. It was assigned on January 6, 2022 and is currently active in the NPPES registry.
What is the specialty of Wabanaki Public Health And Wellness?
Wabanaki Public Health And Wellness is registered under the primary taxonomy Psychologist, Addiction (Substance Use Disorder) (code 103TA0400X).
Where does Wabanaki Public Health And Wellness practice?
The practice location is 157 Park St, Bangor, ME 04401-5093. The office can be reached at 207-631-1536 (phone) or 207-631-0524 (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 1689335184 directly on the NPPES registry website.