Healthcare Provider Details

I. General information

NPI: 1457282055
Provider Name (Legal Business Name): VENABLE COUNSELING SERVICES LLC - DBA DEVIL DOG COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

178 COURT ST STE 204
AUBURN ME
04210-6917
US

IV. Provider business mailing address

178 COURT ST STE 204
AUBURN ME
04210-6917
US

V. Phone/Fax

Practice location:
  • Phone: 530-746-8018
  • Fax: 207-888-1920
Mailing address:
  • Phone: 207-576-8496
  • Fax: 207-888-1920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JEFFREY VENABLE
Title or Position: CEO/CLINICAL DIRECTOR
Credential: MA - LCPC
Phone: 207-576-8496