Healthcare Provider Details

I. General information

NPI: 1518806082
Provider Name (Legal Business Name): BROOKSIDE HEALING & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 ROY DR
VAN BUREN ME
04785-1263
US

IV. Provider business mailing address

PO BOX 144
VAN BUREN ME
04785-0144
US

V. Phone/Fax

Practice location:
  • Phone: 207-462-1183
  • Fax:
Mailing address:
  • Phone: 207-462-1183
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE LAPOINTE
Title or Position: CLINICAL THERAPIST
Credential: LCSW
Phone: 207-868-3354