East Coast Wellness Llc

LBN: East Coast Wellness Llc
East Coast Wellness Llc is an health care organization with primary practice located at 553 Shore Rd Ste 2 , Cape Elizabeth ME 04107-1010. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. East Coast Wellness Llc can be contacted via phone (207) 400-5876, or through Bush, Loren via phone (207) 400-5092.

Contact Information

Primary practice address
553 Shore Rd Ste 2 Cape Elizabeth ME 04107-1010
Phone: (207) 400-5876
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bush, Loren PSYD
Phone: (207) 400-5092

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X

Profile Details

NPI number 1447727466
LBN Legal business name East Coast Wellness Llc
DBA Doing business as
Authorized official Bush, Loren PSYD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 29th, 2018
Last updated Sep 13th, 2021 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447727466 NPPES
Maine MEDICAID E300280666
Maine MEDICAID E300279945

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