Organization
NOURISHING SOUL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIKA S EICHLER (OWNER/LICENSED CLINICAL SOCIAL WORK)
(207) 844-7685
Entity
Organization
Contact information
Practice address
53 MAIN ST, TOPSHAM, ME 04086-1234
(207) 844-7685
Mailing address
67 BEAVER WOODS DR, DURHAM, ME 04222-5491
(207) 844-7685
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104340744
COMMERCIAL INSURANCE USING TYPE 1 NPI
ME
Enumeration date
04/19/2022
Last updated
04/19/2022
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