National Provider Identifier Database

MANY MOONS PSYCHOTHERAPY SERVICES INC
Professional


Contact Information

MANY MOONS PSYCHOTHERAPY SERVICES, INC.
4 COTTAGE STREET
FREEPORT, ME04032
Phone: 207-504-2664
Fax: 207-865-2004
Website:
Specialty Taxonomy Code
* Professional 101YP2500X

* Indicates primary specialty

NPI Profile & details for MANY MOONS PSYCHOTHERAPY SERVICES, INC.

NPI Number 1427319359
Legal business name
LBN
MANY MOONS PSYCHOTHERAPY SERVICES, INC.
Authorized official STEPHANIE PONTTI - (LICENSED CLINICAL PROFESSIONAL COUN)
Entity Organization
Organization subpart No
Enumeration date 06/07/2012
Last updated 07/21/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • License #: CC2454
  • ME License #: CC2454

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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