Organization
BOREALIS MENTAL HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTAN GREENLAW MED. LCPC (OWNER AND THERAPIST)
(207) 922-7572
Entity
Organization
Contact information
Practice address
61 MAIN ST STE 60, BANGOR, ME 04401-6469
(207) 922-2158
Mailing address
61 MAIN ST STE 60, BANGOR, ME 04401-6469
(207) 922-2158
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/13/2024
Last updated
02/13/2024
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