Muse, Mindy M

Muse, Mindy M is an individual health care provider with primary practice located at 813 Broadway Art Of Awareness, Inc., South Portland ME 04106-2708. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Muse, Mindy M can be contacted via phone (207) 799-1331.

Contact Information

Primary practice address
813 Broadway Art Of Awareness, Inc. South Portland ME 04106-2708
Phone: (207) 799-1331
Fax: (207) 799-1350
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC7874 Maine

Profile Details

NPI number 1487750840
LBN Legal business name Muse, Mindy M
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Sep 12th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487750840 NPPES
Maine MEDICAID 255780099

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