Healthcare Provider Details

I. General information

NPI: 1194421537
Provider Name (Legal Business Name): STABLE MINDS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

619 ROCKLAND ST
ROCKPORT ME
04856-5319
US

IV. Provider business mailing address

229 CHOATE RD
MONTVILLE ME
04941-4618
US

V. Phone/Fax

Practice location:
  • Phone: 207-814-7303
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER PERCY
Title or Position: OWNER
Credential: LCPC
Phone: 207-814-7303