Healthcare Provider Details
I. General information
NPI: 1801850516
Provider Name (Legal Business Name): ARTHUR FRANCIS MORRISSETTE LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 04/12/2006
Last Update Date: 04/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
333 LINCOLN ST SUITE 136
SACO ME
04072-3113
US
IV. Provider business mailing address
80 WESTERN AVE
BIDDEFORD ME
04005-2228
US
V. Phone/Fax
- Phone: 207-286-2282
- Fax: 207-286-2283
- Phone: 207-286-2282
- Fax: 207-286-2283
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | LC5749 |
| License Number State | ME |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: