MANY MOONS PSYCHOTHERAPY SERVICES, INC.; NPI #1427319359

Contact Information

MANY MOONS PSYCHOTHERAPY SERVICES, INC.

4 COTTAGE STREET
FREEPORT, ME 04032

Phone: 207-504-2664
Fax: 207-865-2004
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Professional	101YP2500X

Indicates primary specialty

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

NPI Number 1427319359

LBN Legal business name MANY MOONS PSYCHOTHERAPY SERVICES, INC.

Authorized official STEPHANIE PONTTI - (LICENSED CLINICAL PROFESSIONAL COUN)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/07/2012

Last updated 07/21/2022 - About 4 years ago

Identifiers

	License #	CC2454
ME	License #	CC2454

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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