# MYO2 HEALTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538841028
- **Authorized official:** MS. HEIDI MARIE GIASSON MFT (CO-CEO)
- **Authorized official phone:** (207) 653-3505

## Contact information

- **Practice address:** 200 ICHABOD LANE EXT, GORHAM, ME 04038-2744
- **Practice address phone:** (207) 653-3505
- **Mailing address:** 200 ICHABOD LANE EXT, GORHAM, ME 04038-2744

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 246Z00000X | Other Specialist/Technologist | — | NULL | Yes |
| 246Z00000X | Other Specialist/Technologist | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2023
- **Last updated:** 08/03/2023