Organization
PEACEFUL ME, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA ANTKIES LCSW, CADC (PRESIDENT)
(207) 613-6263
Entity
Organization
Contact information
Practice address
253 MAIN ST, YARMOUTH, ME 04096-6800
(207) 613-6263
Mailing address
253 MAIN ST, YARMOUTH, ME 04096-6800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC16134
ME
Other
Enumeration date
09/24/2017
Last updated
09/24/2017
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