| Benjamin C. Smith, Pmhnp, Llc Pa | |
|
336 Mount Hope Ave Ste 15 Bangor ME 04401-4242 | |
| (207) 233-0101 | |
| Not Available |
| Full Name | Benjamin C. Smith, Pmhnp, Llc Pa |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 336 Mount Hope Ave Ste 15, Bangor, Maine |
| Authorized Official Name and Position | Benjamin C Smith (OWNER) |
| Authorized Official Contact | 2072330101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin C. Smith, Pmhnp, Llc Pa 70 15th St Bangor ME 04401 Ph: (207) 233-0101 | Benjamin C. Smith, Pmhnp, Llc Pa 336 Mount Hope Ave Ste 15 Bangor ME 04401-4242 Ph: (207) 233-0101 |
| NPI Number | 1700473220 |
|---|---|
| Provider Enumeration Date | 12/30/2020 |
| Last Update Date | 12/30/2020 |
| Certification Date | 12/30/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700473220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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