Healthcare Provider Details
I. General information
NPI: 1548071616
Provider Name (Legal Business Name): CONNECTIONS COUNSELING PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/16/2025
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
21 BRADEEN ST STE 204
SPRINGVALE ME
04083-1925
US
IV. Provider business mailing address
PO BOX 478
NORTH BERWICK ME
03906-0478
US
V. Phone/Fax
- Phone: 207-502-5886
- Fax: 207-387-7880
- Phone: 207-502-5886
- Fax: 207-387-7880
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| 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:
ALLYSON
FISH
Title or Position: SOLE MEMBER
Credential: LCSW
Phone: 207-502-5886