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NPI 1518806082

NPI 1518806082 : BROOKSIDE HEALING & WELLNESS LLC : VAN BUREN, ME

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General NPI Number Information
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    NPI Number           |    1518806082
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    Entity Type          |    Organization 
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    Legal Business Name  |    BROOKSIDE HEALING & WELLNESS LLC 
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Dates
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    Enumeration Date     |    03/27/2026
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    Last Update Date     |    03/27/2026
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Provider Practice Location Address
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    Address Line         |    116 ROY DR 
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    City                 |    VAN BUREN
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    State                |    ME
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    Zip                  |    04785-1263
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    Country              |    US
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    Telephone            |    207-462-1183
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 144 
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    City                 |    VAN BUREN
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    State                |    ME
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    Zip                  |    04785-0144
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    Country              |    US
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    Telephone            |    207-462-1183
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CLINICAL THERAPIST
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    Name                 |     CHRISTINE  LAPOINTE 
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    Credential           |    LCSW
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    Telephone            |    207-868-3354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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