Organization
BRIEF THERAPY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARILYN T. BRONZI LCSW (PRESIDENT)
(207) 671-2373
Entity
Organization
Contact information
Practice address
95 INDIA ST, PORTLAND, ME 04101-4250
(207) 672-2373
(207) 773-6207
Mailing address
PO BOX 14, SOUTH FREEPORT, ME 04078-0014
(207) 671-2373
(207) 773-6207
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LC4088
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0004665
MEDICARE PROVIDER TRANSACTION ACCESS NUMBER
ME
01
—
016598
ANTHEM
ME
01
—
1032675
CIGNA
ME
01
—
7853446
AETNA
ME
01
—
81669
UNITED BEHAVIORAL HEALTH
ME
Enumeration date
05/11/2006
Last updated
04/08/2009
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