Healthcare Provider Details

I. General information

NPI: 1760337844
Provider Name (Legal Business Name): JAMES COELHO LCPC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/03/2026
Last Update Date: 03/03/2026
Certification Date: 03/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

474 MAIN ST
SPRINGVALE ME
04083-1409
US

IV. Provider business mailing address

474 MAIN ST
SPRINGVALE ME
04083-1409
US

V. Phone/Fax

Practice location:
  • Phone: 207-490-8396
  • Fax:
Mailing address:
  • Phone: 207-490-8396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberXL8471
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: