Healthcare Provider Details

I. General information

NPI: 1821680844
Provider Name (Legal Business Name): SOLSTICE PSYCHOTHERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2021
Last Update Date: 02/11/2021
Certification Date: 02/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

64 BEAVER DAM RD
NORTH WATERBORO ME
04061-4645
US

IV. Provider business mailing address

64 BEAVER DAM RD
NORTH WATERBORO ME
04061-4645
US

V. Phone/Fax

Practice location:
  • Phone: 207-331-7328
  • Fax:
Mailing address:
  • Phone: 207-331-7328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ANMARIE REED
Title or Position: OWNER
Credential: LCSW, CCS
Phone: 207-331-7328