Healthcare Provider Details

I. General information

NPI: 1053250605
Provider Name (Legal Business Name): ROUND STONES THERAPY STUDIO, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 LOWELL ST UNIT 9
CALAIS ME
04619-1712
US

IV. Provider business mailing address

5 LOWELL ST UNIT 9
CALAIS ME
04619-1712
US

V. Phone/Fax

Practice location:
  • Phone: 207-318-8911
  • Fax:
Mailing address:
  • Phone: 207-318-8911
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: ANDREA BREWSTER
Title or Position: OWNER
Credential: LCPC
Phone: 207-318-8911