=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710157946
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MOLLY W HARVEY LCSW-LADC
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/04/2008
-----------------------------------------------------
Last Update Date | 10/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 315 MAIN ST STE 204
-----------------------------------------------------
City | ROCKLAND
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04841-3388
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-542-2558
-----------------------------------------------------
Fax | 207-800-4955
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 123
-----------------------------------------------------
City | SOUTH THOMASTON
-----------------------------------------------------
State | ME
-----------------------------------------------------
Zip | 04858-0123
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 207-542-2558
-----------------------------------------------------
Fax | 207-800-4955
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YA0400X
-----------------------------------------------------
Taxonomy Name | Addiction (Substance Use Disorder) Counselor
-----------------------------------------------------
License Number | LC4525
-----------------------------------------------------
License Number State | ME
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | LC13796
-----------------------------------------------------
License Number State | ME
-----------------------------------------------------