Healthcare Provider Details

I. General information

NPI: 1629816590
Provider Name (Legal Business Name): LANIE HOWES THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 07/16/2024
Certification Date: 07/16/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11 PARKWOOD DR
AUGUSTA ME
04330-6252
US

IV. Provider business mailing address

54 SHELDON ST
FARMINGDALE ME
04344-2817
US

V. Phone/Fax

Practice location:
  • Phone: 207-955-3538
  • Fax:
Mailing address:
  • Phone: 207-431-2341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LANIE HOWES
Title or Position: OWNER
Credential: LCPC
Phone: 207-431-2341