Healthcare Provider Details

I. General information

NPI: 1265409528
Provider Name (Legal Business Name): CENTRAL MAINE COUNSELING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/07/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

276 MAIN ST
LEWISTON ME
04240-7024
US

IV. Provider business mailing address

276 MAIN ST
LEWISTON ME
04240-7024
US

V. Phone/Fax

Practice location:
  • Phone: 207-782-3386
  • Fax: 207-782-3386
Mailing address:
  • Phone: 207-782-3386
  • Fax: 207-782-3386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number272021
License Number StateME

VIII. Authorized Official

Name: MS. JEAN ELIZABETH LITCHFIELD
Title or Position: PRESIDENT
Credential: LCPC/LADC
Phone: 207-782-3386