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General NPI Number Information
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NPI Number | 1982390555
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Entity Type | Organization
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Legal Business Name | AN ANGEL'S WING INC.
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Dates
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Enumeration Date | 04/17/2023
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 1567 LISBON ST STE 1A
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City | LEWISTON
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State | ME
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Zip | 04240-3545
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Country | US
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Telephone | 207-241-0624
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Fax |
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Provider Business Mailing Address
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Address Line | 1567 LISBON ST STE 1A
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City | LEWISTON
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State | ME
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Zip | 04240-3545
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Country | US
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Telephone | 207-241-0624
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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 | MRS. DEBRA LYNN YORK
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Credential | CADC
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Telephone | 207-513-6051
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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