Healthcare Provider Details

I. General information

NPI: 1669139663
Provider Name (Legal Business Name): ANDREW MARANHAS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/24/2021
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 LEHNER RD
SACO ME
04072-1836
US

IV. Provider business mailing address

2 LEHNER RD
SACO ME
04072-1836
US

V. Phone/Fax

Practice location:
  • Phone: 207-300-2471
  • Fax:
Mailing address:
  • Phone: 207-300-2471
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCAC9610
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: