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Organization

COASTAL COLLABORATIVE PSYCHIATRY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAHEEN GANEM APRN, PMHNP-BC (OWNER, APRN)
(272) 268-5794
Entity
Organization

Contact information

Practice address
15 PLEASANT HILL RD, SCARBOROUGH, ME 04074-9688
(207) 813-7938
(207) 656-6243
Mailing address
15 PLEASANT HILL RD, SCARBOROUGH, ME 04074-9688
(207) 813-7938
(207) 656-6243

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
05/04/2026
Last updated
05/04/2026
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