Healthcare Provider Details

I. General information

NPI: 1447064217
Provider Name (Legal Business Name): WAYFINDING WELLNESS & THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/03/2025
Last Update Date: 02/03/2025
Certification Date: 02/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MAINE ST
BRUNSWICK ME
04011-2049
US

IV. Provider business mailing address

12 HOT DOG RD
GREENE ME
04236-3009
US

V. Phone/Fax

Practice location:
  • Phone: 207-504-7517
  • Fax:
Mailing address:
  • Phone: 207-504-7517
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ZACKERY MORIN
Title or Position: CLINICAL COUNSELOR
Credential: M.S., LCPC-C, NCC
Phone: 207-504-7517