Healthcare Provider Details

I. General information

NPI: 1750211348
Provider Name (Legal Business Name): THE VINE PSYCHIATRY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

439 US ROUTE 1 STE A
YORK ME
03909-1638
US

IV. Provider business mailing address

439 US ROUTE 1 STE A
YORK ME
03909-1638
US

V. Phone/Fax

Practice location:
  • Phone: 757-841-8099
  • Fax: 207-477-5557
Mailing address:
  • Phone: 757-841-8099
  • Fax: 207-477-5557

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: MARIAM ARABAMBI
Title or Position: PMHNP
Credential:
Phone: 757-841-8099