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NPI 1407349202

NPI 1407349202 : A LIFE'S COMPASS PLLC : NORWAY, ME

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General NPI Number Information
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    NPI Number           |    1407349202
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    Entity Type          |    Organization 
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    Legal Business Name  |    A LIFE'S COMPASS PLLC 
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Dates
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    Enumeration Date     |    06/07/2018
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    Last Update Date     |    06/08/2018
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Provider Practice Location Address
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    Address Line         |    9 MARSTON ST 
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    City                 |    NORWAY
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    State                |    ME
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    Zip                  |    04268
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    Country              |    US
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    Telephone            |    207-595-4413
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    9 MARSTON ST 
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    City                 |    NORWAY
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    State                |    ME
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    Zip                  |    04268-5781
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    Country              |    US
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    Telephone            |    207-595-4413
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |    DR. LAURIE ANN REDFIELD 
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    Credential           |    LCSW
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    Telephone            |    207-595-4413
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    MHA733747
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    License Number State |    ME
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    MHA733747
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    License Number State |    ME
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