# A SIMPLE THERAPY LLC

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

## Provider details

- **NPI number:** 1811445935
- **Authorized official:** SINDEE J GOZANSKY LCPC (PRESIDENT)
- **Authorized official phone:** (207) 653-1496

## Contact information

- **Practice address:** 53 EXCHANGE ST, SUITE 202, PORTLAND, ME 04101-5034
- **Practice address phone:** (207) 653-1496
- **Practice address fax:** (207) 842-9007
- **Mailing address:** 53 EXCHANGE ST, SUITE 202, PORTLAND, ME 04101-5034
- **Mailing address phone:** (207) 653-1496
- **Mailing address fax:** (207) 842-9007

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | CC3809 | ME | Yes |

## Other

- **Enumeration date:** 09/19/2016
- **Last updated:** 09/19/2016