Healthcare Provider Details

I. General information

NPI: 1265369862
Provider Name (Legal Business Name): HOLISTIC COMPASSIONATE ADVOCACY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 EXCHANGE ST STE 602
BANGOR ME
04401-6588
US

IV. Provider business mailing address

80 EXCHANGE ST STE 602
BANGOR ME
04401-6588
US

V. Phone/Fax

Practice location:
  • Phone: 207-378-8906
  • Fax:
Mailing address:
  • Phone: 207-378-8906
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: AISLINN CANARR
Title or Position: OWNER
Credential: LCSW
Phone: 207-378-8906