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Organization

EVOLVE PSYCHIATRY AND COUNSELING PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PAULA A GENTILE (OWNER)
(207) 272-5647
Entity
Organization

Contact information

Practice address
111 SIMMONS RD, SOUTH PORTLAND, ME 04106-6509
(207) 272-5647
Mailing address
111 SIMMONS RD, SOUTH PORTLAND, ME 04106-6509
(207) 272-5647

Taxonomy

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

Other

Enumeration date
05/15/2023
Last updated
05/15/2023
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