Organization
PROTEA BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROWENA TESSMANN PHD (EXECUTIVE DIRECTOR)
(207) 992-7010
Entity
Organization
Contact information
Practice address
33 STATE ST, BANGOR, ME 04401-5038
(207) 992-7010
(207) 992-7011
Mailing address
33 STATE ST, BANGOR, ME 04401-5038
(207) 992-7010
(207) 992-7011
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
031509
ANTHEM FACILITY ID#
ME
05
—
1003100101
—
ME
Enumeration date
06/29/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up