Active NPIIndividual provider

Alicia M Antiuk, LADC, MHRT/C

Counselor, Addiction (Substance Use Disorder) in Medway, Maine

NPI Number1972371060
Practice location
2323 Medway RD, Medway, ME 04460-3106
Fax
—
Last updated
December 18, 2023

Alicia Marie Antiuk is a Counselor, Addiction (Substance Use Disorder) based in Medway, ME. Alicia Marie Antiuk practices in Medway, ME and has the professional credentials of LADC, MHRT/C. The NPI Number for Alicia Marie Antiuk is 1972371060 and holds a License No. 35230 (ME). The current practice location address for Alicia Marie Antiuk is 2323 Medway RD, Medway, ME 04460-3106 and can be reached out via phone at 207-249-0840.

Provider Profile Details

NPI Number
1972371060
Provider Name
Alicia Marie Antiuk
Credential
LADC, MHRT/C
Provider Entity Type
Individual
Gender
Female
Address
2323 Medway RD, Medway, ME 04460-3106
Phone Number
207-249-0840
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
December 18, 2023
Last Update Date
December 18, 2023
Certification Date
December 18, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
2323 Medway RD
Medway, ME 04460-3106
City
Medway
State
Maine
Zip
04460-3106
Phone Number
207-249-0840
Medway, ME 04460Get directions →

Provider Business Mailing Address Details

Address
3 Main St
East Millinocket, ME 04430-1220
City
East Millinocket
State
ME
Zip
04430-1220
Phone Number
207-249-0840

License Information

License Number (1)
35230
License State (1)
ME
Taxonomy (1)
Case Manager/Care Coordinator · 171M00000X
License Number (2)
LC8637
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 Alicia M Antiuk, LADC, MHRT/C?

The NPI number of Alicia M Antiuk, LADC, MHRT/C is 1972371060. It was assigned on December 18, 2023 and is currently active in the NPPES registry.

What is the specialty of Alicia M Antiuk, LADC, MHRT/C?

Alicia M Antiuk, LADC, MHRT/C is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number 35230.

Where does Alicia M Antiuk, LADC, MHRT/C practice?

The practice location is 2323 Medway RD, Medway, ME 04460-3106. The office can be reached at 207-249-0840 (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 1972371060 directly on the NPPES registry website.

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