Healthcare Provider Details

I. General information

NPI: 1144183617
Provider Name (Legal Business Name): MC COMMUNITY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

58 ENFIELD RD
LINCOLN ME
04457-1175
US

IV. Provider business mailing address

PO BOX 186
LINCOLN ME
04457-0186
US

V. Phone/Fax

Practice location:
  • Phone: 207-794-3133
  • Fax: 207-794-3155
Mailing address:
  • Phone: 207-794-3133
  • Fax: 207-794-3155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MICHAEL PREBLE
Title or Position: OWNER
Credential:
Phone: 207-794-3133