Organization
LIFELINE, ADDICTION AND RECOVERY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MYLES PETER OUELLETTE LADC, CCS (OWNER / CLINICAL SUPERVISOR)
(207) 436-5195
Entity
Organization
Contact information
Practice address
204 MAIN ST, VAN BUREN, ME 04785-2214
(207) 492-7500
Mailing address
PO BOX 165, VAN BUREN, ME 04785-0165
(207) 436-5195
(207) 436-5195
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
2083A0300X
Addiction Medicine (Preventive Medicine) Physician
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
225800000X
Recreation Therapist
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM2800X
Methadone Clinic
Primary
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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