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Organization
OPEN DOOR WELLNESS LLC,
Active
Organization
OPEN DOOR WELLNESS LLC,
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DOLORES IMELDA VAN BOURGONDIEN PMHNP (DIRECTOR)
(207) 691-9907
Entity
Organization
Contact information
Practice address
375 MAIN ST, ROCKLAND, ME 04841-3304
(561) 866-1211
(207) 569-6650
Mailing address
375 MAIN ST, ROCKLAND, ME 04841-3304
(561) 866-1211
(207) 569-6650
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
10/24/2025
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