Organization
BLUE RIDGE COUNSELING CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON R NEIL LCSW, LADC, CCS (PRESIDENT)
(207) 645-9770
Entity
Organization
Contact information
Practice address
32 MAIN ST, LIVERMORE FALLS, ME 04254-1244
(207) 645-9770
(207) 897-9000
Mailing address
32 MAIN ST, LIVERMORE FALLS, ME 04254-1244
(207) 645-9770
(207) 897-9000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
683579
ME
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
683580
ME
Other
Enumeration date
06/07/2014
Last updated
02/17/2015
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