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General NPI Number Information
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NPI Number | 1114852977
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Entity Type | Individual
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Provider Name | MICHAELA GREENLEAF
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Gender | Female
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Dates
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Enumeration Date | 06/15/2026
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Last Update Date | 06/15/2026
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Provider Practice Location Address
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Address Line | 15 SAUNDERS WAY STE 700
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City | WESTBROOK
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State | ME
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Zip | 04092-4834
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Country | US
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Telephone | 207-878-9663
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Fax |
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Provider Business Mailing Address
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Address Line | 24 WESTMORE AVE
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City | CUMBERLAND
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State | ME
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Zip | 04021-3054
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LM26071
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License Number State | ME
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