Healthcare Provider Details
I. General information
NPI: 1265329320
Provider Name (Legal Business Name): FRAMEWORK BEHAVIORAL HEALTH CLINIC, LICENSED CLINICAL SOCIAL WORKER, A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/21/2025
Last Update Date: 03/27/2026
Certification Date: 03/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
615 WHITE SCHOOL HOUSE RD
MADISON ME
04950
US
IV. Provider business mailing address
4079 GOVERNOR DR # 5107
SAN DIEGO CA
92122-2522
US
V. Phone/Fax
- Phone: 425-686-8349
- Fax:
- Phone: 425-686-8349
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LEONOR
PILAR
DONAYRE
Title or Position: PRESIDENT
Credential: LCSW
Phone: 425-270-8458