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General NPI Number Information
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NPI Number | 1982046207
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Entity Type | Organization
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Legal Business Name | ALTERNATIVE WELLNESS SERVICES
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Dates
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Enumeration Date | 07/28/2013
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 281 MAIN ST
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City | BIDDEFORD
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State | ME
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Zip | 04005-2412
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Country | US
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Telephone | 207-494-8010
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Fax |
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Provider Business Mailing Address
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Address Line | 419 ALFRED ST
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City | BIDDEFORD
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State | ME
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Zip | 04005-3747
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Country | US
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Telephone | 207-494-8010
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Fax | 207-494-8471
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Authorized Official
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Title or Position | CEO
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Name | AMBER R. ELLIOTT
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Credential | LCSW
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Telephone | 207-653-7641
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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 | 665817
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License Number State | ME
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 665817
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License Number State | ME
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