Healthcare Provider Details

I. General information

NPI: 1982525556
Provider Name (Legal Business Name): FIRSTLINE BEHAVIORAL HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 STATE ST STE 513
BANGOR ME
04401-5163
US

IV. Provider business mailing address

6 STATE ST STE 513
BANGOR ME
04401-5163
US

V. Phone/Fax

Practice location:
  • Phone: 207-378-0643
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: NAF RICHIE
Title or Position: OWNER
Credential: PMHNP
Phone: 207-249-5649