Healthcare Provider Details

I. General information

NPI: 1093588212
Provider Name (Legal Business Name): ALVINO COUNSELING, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2023
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
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: 207-240-1697
  • Fax:
Mailing address:
  • Phone: 207-240-1697
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JESSICA ALVINO
Title or Position: PRESIDENT
Credential: LCSW
Phone: 207-240-1697