Organization
YOUR JOURNEY BEHAVIORAL AND MENTAL HEALTH PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA SOUCY PMHNP (OWNER)
(207) 814-7980
Entity
Organization
Contact information
Practice address
45 CHURCH ST, WALLAGRASS, ME 04781-3039
(207) 231-0037
(207) 800-1004
Mailing address
27 CLARK BROOK RD, WALLAGRASS, ME 04781-3201
(207) 814-7980
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
05/01/2022
Last updated
09/24/2024
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