Healthcare Provider Details

I. General information

NPI: 1760993877
Provider Name (Legal Business Name): CARING COUNSELING FOR YOU INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/16/2017
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 SAND BAR RD
WINDHAM ME
04062-5796
US

IV. Provider business mailing address

999 FOREST AVE STE 6
PORTLAND ME
04103-3354
US

V. Phone/Fax

Practice location:
  • Phone: 207-774-4564
  • Fax: 207-774-0006
Mailing address:
  • Phone: 207-774-4564
  • Fax: 207-774-0006

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberSAA221462
License Number StateME
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH454002
License Number StateME

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PAUL WILCOM MILLER
Title or Position: OWNER
Credential: LCPC, CCS
Phone: 207-239-6406