Organization
SACO BAY MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL KINGSLEY PMHNP (OWNER)
(207) 832-1212
Entity
Organization
Contact information
Practice address
15 PLEASANT HILL RD STE 204, SCARBOROUGH, ME 04074-9688
(073) 874-8012
(207) 799-9887
Mailing address
233 JOB RD, STANDISH, ME 04084-6530
(207) 832-1212
(207) 799-9887
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/10/2023
Last updated
03/03/2026
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