Healthcare Provider Details

I. General information

NPI: 1518890953
Provider Name (Legal Business Name): MADELEINE ELIZABETH HORROCKS LMSW-CC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2026
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 RIVERSIDE DR
AUGUSTA ME
04330-8302
US

IV. Provider business mailing address

45 PREBLE RD
BOWDOINHAM ME
04008-4243
US

V. Phone/Fax

Practice location:
  • Phone: 844-294-5306
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC26044
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: