Organization
WILDWELL PSYCHIATRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN MANNING MD (FOUNDING PSYCHIATRIST)
(207) 835-1242
Entity
Organization
Contact information
Practice address
16 MAIN STREET, SEAL HARBOR, ME 04675
(207) 835-1242
(207) 834-2332
Mailing address
16 MAIN STREET, #411, SEAL HARBOR, ME 04675
(207) 835-1242
(207) 834-2332
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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