Healthcare Provider Details

I. General information

NPI: 1588732515
Provider Name (Legal Business Name): ANGELA MARIE BLIER LCPC, LADC, CCS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/30/2006
Last Update Date: 09/26/2025
Certification Date: 09/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1155 LISBON ST
LEWISTON ME
04240-5025
US

IV. Provider business mailing address

1155 LISBON ST
LEWISTON ME
04240-5025
US

V. Phone/Fax

Practice location:
  • Phone: 207-871-1200
  • Fax:
Mailing address:
  • Phone: 207-871-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLC3000
License Number StateME
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberME288949
License Number StateME
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberCC31325
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: