Organization
EMBODIED CHANGE COUNSELING, LLC
Active
Other names
Stephen Dacey Psychotherapy, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN DACEY LCSW (OWNER)
(603) 667-1603
Entity
Organization
Contact information
Practice address
57 EXCHANGE ST STE 203, PORTLAND, ME 04101-5000
(603) 667-1603
Mailing address
57 EXCHANGE ST STE 203, PORTLAND, ME 04101-5000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
01/04/2024
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