Organization
REDEFINING THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITA WHITTEN LCSW (OWNER)
(207) 232-3092
Entity
Organization
Contact information
Practice address
222 SAINT JOHN ST, SUITE 231, PORTLAND, ME 04102-3000
(207) 232-3092
(207) 613-9500
Mailing address
222 SAINT JOHN ST, SUITE 231, PORTLAND, ME 04102-3000
(207) 232-3092
(207) 613-9500
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC14128
ME
Other
Enumeration date
11/10/2016
Last updated
11/10/2016
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