Organization
GROUNDWORK HEALING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BROOKLIN JONES-BANAHAN, LCSW LCSW (CLINICAL DIRECTOR)
(207) 941-0879
Entity
Organization
Contact information
Practice address
12 STILLWATER AVE STE 7, BANGOR, ME 04401-3984
(918) 344-7844
Mailing address
12 STILLWATER AVE STE 7, BANGOR, ME 04401-3984
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
04/19/2024
Last updated
03/03/2025
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