Active NPIOrganization

Food Addiction Chemical Dependency Consultants LLC

Counselor, Addiction (Substance Use Disorder) in So Portland, Maine

NPI Number1881627958
Practice location
650 Main St, Suite 103, So Portland, ME 04106
Fax
207-774-0006
Last updated
August 23, 2010

Food Addiction Chemical Dependency Consultants LLC is a healthcare organization based in So Portland, ME. Food Addiction Chemical Dependency Consultants LLC practices in So Portland, ME. The NPI Number for Food Addiction Chemical Dependency Consultants LLC is 1881627958 and holds a License No. 454002 (ME). The current practice location address for Food Addiction Chemical Dependency Consultants LLC is 650 Main St, Suite 103, So Portland, ME 04106 and can be reached out via phone at 207-774-4564 and via fax at 207-774-0006.

Provider Profile Details

NPI Number
1881627958
Provider Name
Food Addiction Chemical Dependency Consultants LLC
Provider Entity Type
Organization
Address
650 Main St, Suite 103, So Portland, ME 04106
Phone Number
207-774-4564
Fax Number
207-774-0006
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Organization Subpart
No
Authorized Official
Mrs. Drusilla M Myers, LADC CCS · President Ceo · 207-774-4564
Provider Enumeration Date
July 9, 2006
Last Update Date
August 23, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
650 Main St
Suite 103
So Portland, ME 04106
State
Maine
Zip
04106
Phone Number
207-774-4564
Fax Number
207-774-0006
So Portland, ME 04106Get directions →

Provider Business Mailing Address Details

Address
650 Main St
Suite 103
So Portland, ME 04106
City
So Portland
State
ME
Zip
04106
Phone Number
207-774-4564
Fax Number
207-774-0006

License Information

License Number (1)
454002
License State (1)
ME
Taxonomy (1)
Counselor, Mental Health · 101YM0800X
License Number (2)
22146
License State (2)
ME
Taxonomy (2)
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · 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 Food Addiction Chemical Dependency Consultants LLC?

The NPI number of Food Addiction Chemical Dependency Consultants LLC is 1881627958. It was assigned on July 9, 2006 and is currently active in the NPPES registry.

What is the specialty of Food Addiction Chemical Dependency Consultants LLC?

Food Addiction Chemical Dependency Consultants LLC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number 454002.

Where does Food Addiction Chemical Dependency Consultants LLC practice?

The practice location is 650 Main St, Suite 103, So Portland, ME 04106. The office can be reached at 207-774-4564 (phone) or 207-774-0006 (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 1881627958 directly on the NPPES registry website.

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