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NPI 1528996758

NPI 1528996758 : HOLISTIC PSYCHOTHERAPY MAINE : PORTLAND, ME

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General NPI Number Information
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    NPI Number           |    1528996758
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    Entity Type          |    Organization 
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    Legal Business Name  |    HOLISTIC PSYCHOTHERAPY MAINE 
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Dates
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    Enumeration Date     |    05/09/2026
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    Last Update Date     |    05/09/2026
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Provider Practice Location Address
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    Address Line         |    500 FOREST AVE STE 5A 
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    City                 |    PORTLAND
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    State                |    ME
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    Zip                  |    04101-1520
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    Country              |    US
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    Telephone            |    207-210-5787
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1005 SAWYER RD 
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    City                 |    CAPE ELIZABETH
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    State                |    ME
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    Zip                  |    04107-9638
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    Country              |    US
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    Telephone            |    207-210-5787
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER, PSYCHOTHERAPIST
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    Name                 |     RACHEL THERESA ROMANSKI 
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    Credential           |    LCPC-C
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    Telephone            |    207-210-5787
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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