Healthcare Provider Details

I. General information

NPI: 1336997675
Provider Name (Legal Business Name): HM COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2024
Last Update Date: 05/10/2024
Certification Date: 05/10/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 NORTH ST STE 1
PRESQUE ISLE ME
04769-2239
US

IV. Provider business mailing address

24 NORTH ST STE 1
PRESQUE ISLE ME
04769-2239
US

V. Phone/Fax

Practice location:
  • Phone: 207-619-1291
  • Fax:
Mailing address:
  • Phone: 207-619-1291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: HEATHER M GRIFFIN
Title or Position: PRESIDENT/OWNER/OPT
Credential: LCSW
Phone: 207-619-1291