Organization
BREATHING SPACE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE W POLAK LCPC (OWNER)
(207) 212-9512
Entity
Organization
Contact information
Practice address
132 MAIN ST, SUITE 205, BRIDGTON, ME 04009-1127
(207) 212-9512
Mailing address
PO BOX 445, BRIDGTON, ME 04009-0445
(207) 212-9512
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CC3042
ME
Other
Enumeration date
09/27/2011
Last updated
09/27/2011
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