=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013864297
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LAUNCHPAD BEHAVIORAL HEALTH LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/16/2026
-----------------------------------------------------
Last Update Date | 03/16/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 48 COURT ST
-----------------------------------------------------
City | SKOWHEGAN
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04976-1864
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 616-481-9241
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 64 DECKER RD
-----------------------------------------------------
City | MERCER
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04957-4859
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 616-481-9241
-----------------------------------------------------
Fax | 855-915-0335
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER
-----------------------------------------------------
Name | NATHAN VANSOEST
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 616-481-9241
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 103K00000X
-----------------------------------------------------
Taxonomy Name | Behavior Analyst
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
Taxonomy Code | 106S00000X
-----------------------------------------------------
Taxonomy Name | Behavior Technician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------