Healthcare Provider Details

I. General information

NPI: 1114769536
Provider Name (Legal Business Name): FRAME OF MIND, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2024
Last Update Date: 03/27/2025
Certification Date: 03/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 BRADEEN ST STE 303
SPRINGVALE ME
04083-1971
US

IV. Provider business mailing address

PO BOX 259
SPRINGVALE ME
04083-0259
US

V. Phone/Fax

Practice location:
  • Phone: 207-929-0181
  • Fax:
Mailing address:
  • Phone: 207-929-0181
  • 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 Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
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: MS. KELLY A. PERRY
Title or Position: FOUNDER & THERAPIST
Credential: LCSW
Phone: 207-929-0181