Healthcare Provider Details

I. General information

NPI: 1093522344
Provider Name (Legal Business Name): MEGAN RYAN SPOFFORD MS, LCPC-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2024
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2178 POST RD STE 206
WELLS ME
04090-4794
US

IV. Provider business mailing address

2178 POST RD STE 206
WELLS ME
04090-4794
US

V. Phone/Fax

Practice location:
  • Phone: 207-216-2222
  • Fax:
Mailing address:
  • Phone: 207-216-2222
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: