Organization
SOUTHERN MAINE PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JOHNSTON LCSW (PROVIDER/OWNER)
(207) 200-5621
Entity
Organization
Contact information
Practice address
20 MUSSEY RD, SCARBOROUGH, ME 04074-9570
(207) 200-5621
Mailing address
20 MUSSEY RD, SCARBOROUGH, ME 04074-9570
(207) 200-5621
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
09/16/2025
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