Organization
FLOURISHING MIND COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE J STEIN LCPC, LADC (PSYCHOTHERAPIST/OWNER)
(603) 566-6133
Entity
Organization
Contact information
Practice address
57 EXCHANGE ST STE 203, PORTLAND, ME 04101-5000
(603) 566-6133
(207) 407-7223
Mailing address
84 COLLEY BROOK DR, WINDHAM, ME 04062-4557
(603) 566-6133
(207) 407-7223
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093263154
—
ME
Enumeration date
11/17/2020
Last updated
11/20/2020
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