Individual
MS. PHYLLIS DARLINGTON HAVENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LCSW
Contact information
Practice address
40 SUMMER ST, BANGOR, ME 04401-6446
(207) 990-3896
(207) 990-3896
Mailing address
60 KENNEBEC RD, HAMPDEN, ME 04444-1341
(207) 862-2349
(207) 990-3896
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC6946
ME
133V00000X
Registered Dietitian
D198
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002160
ANTHEM BCBS
ME
Enumeration date
05/17/2007
Last updated
09/11/2025
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