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Organization

LIFE, ELEVATED LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERIC ROLLINS (LICENSED COUNSELOR (LCPC))
(207) 694-9043
Entity
Organization

Contact information

Practice address
331 PINE ST, LEWISTON, ME 04240-6308
(207) 694-9043
Mailing address
331 PINE ST, LEWISTON, ME 04240-6308

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
10/01/2024
Last updated
10/01/2024
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