MEDICARE: SEASONS PROMISE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	929	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1316369028
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SEASONS PROMISE PLLC

Provider Business Mailing Address
First Line	:	4 PARSONS FARM RD
Second Line	:
City	:	BRUNSWICK
State	:	ME
Zip	:	04011-7469
Country	:	US
Telephone Number	:	802-299-6276
Fax Number	:	603-795-2917

Provider Business Practice Location Address
First Line	:	56 MAINE ST STE D
Second Line	:
City	:	BRUNSWICK
State	:	ME
Zip	:	04011-2046
Country	:	US
Telephone Number	:	802-299-6276
Fax Number	:	603-795-2917

Authorized Official
Title or Position	:	PSYCHOTHERAPIST
Name	:	MRS. HEATHER TRILLIUM TOULMIN
Credential	:	LCMHC
Telephone Number	:	802-299-6276

Provider Enumeration Date	:	01/15/2014
Last Update Date	:	12/08/2025

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