Borealis Mental Health Services Llc | |
61 Main St Ste 60 Bangor ME 04401-6469 | |
(207) 922-2158 | |
Not Available |
Full Name | Borealis Mental Health Services Llc |
---|---|
Speciality | Counselor - Mental Health |
Location | 61 Main St Ste 60, Bangor, Maine |
Authorized Official Name and Position | Tristan Greenlaw (OWNER AND THERAPIST) |
Authorized Official Contact | 2079227572 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Borealis Mental Health Services Llc 61 Main St Ste 60 Bangor ME 04401-6469 Ph: (207) 922-2158 | Borealis Mental Health Services Llc 61 Main St Ste 60 Bangor ME 04401-6469 Ph: (207) 922-2158 |
NPI Number | 1598529125 |
---|---|
Provider Enumeration Date | 02/13/2024 |
Last Update Date | 02/13/2024 |
Certification Date | 02/13/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598529125 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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