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NPI Code Detail

MEDICARE: MRS. BREANNA LEE MATTHEWS

MEDICARE: MRS. BREANNA LEE MATTHEWS
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
1101YM0800XMental Health CounselorXL8364ME

General Provider Information

NPI Number : 1487504031
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BREANNA LEE MATTHEWS
Provider Business Mailing Address
First Line : 15 GAYLES LN
Second Line :
City : PARSONSFIELD
State : ME
Zip : 04047-6451
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 28 STATE ST STE 5
Second Line :
City : GORHAM
State : ME
Zip : 04038-1147
Country : US
Telephone Number : 207-222-0299
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/02/2026
Last Update Date : 02/02/2026

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Directions to “ MRS. BREANNA LEE MATTHEWS ” Practice Location

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