Healthcare Provider Details

I. General information

NPI: 1386581338
Provider Name (Legal Business Name): W B MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 MAIN ST
CHERRYFIELD ME
04622-4211
US

IV. Provider business mailing address

140 MAIN ST
CHERRYFIELD ME
04622-4211
US

V. Phone/Fax

Practice location:
  • Phone: 207-598-8499
  • 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: KRISTINA L BAILEY
Title or Position: OWNER
Credential: FNP
Phone: 207-598-8499