Organization
PHOENIX MENTAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BARBARA KERRIGAN LCSW (EXECUTIVE DIRECTOR)
(207) 941-1113
Entity
Organization
Contact information
Practice address
444 STILLWATER AVE, SUITE 202, BANGOR, ME 04401-3500
(207) 941-1113
(207) 941-1134
Mailing address
444 STILLWATER AVE, SUITE 202, BANGOR, ME 04401-3500
(207) 941-1113
(207) 941-1134
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
468197
ME
251K00000X
Public Health or Welfare Agency
492121
ME
Other
Enumeration date
08/31/2006
Last updated
08/22/2020
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