| Full Bloom Therapy & Consulting | |
|
9 Bowdoin Mill Is Topsham ME 04086-1263 | |
| (207) 837-6599 | |
| Not Available |
| Full Name | Full Bloom Therapy & Consulting |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 9 Bowdoin Mill Is, Topsham, Maine |
| Authorized Official Name and Position | Stacey Michelle Jenkins (OWNER) |
| Authorized Official Contact | 2078376599 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Full Bloom Therapy & Consulting 9 Bowdoin Mill Is Topsham ME 04086-1263 Ph: (207) 837-6599 | Full Bloom Therapy & Consulting 9 Bowdoin Mill Is Topsham ME 04086-1263 Ph: (207) 837-6599 |
| NPI Number | 1770049769 |
|---|---|
| Provider Enumeration Date | 02/14/2019 |
| Last Update Date | 11/05/2023 |
| Certification Date | 11/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770049769 | NPI | - | NPPES |
| 1780018119 | Medicaid | ME |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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