GRACE STREET SERVICES LLC (NPI# 1639483233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639483233 |
| Entity Type | Organization |
| Organization Name | GRACE STREET SERVICES LLC |
| Practice Address |
105 Middle St Lewiston ME 04240-7037 |
| Practice Telephone | 2072129258 |
| Mailing Telephone | 2072129258 |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2010-08-06 |
| Authorized Official Name | MARTIN JOSEPH OBRIEN SR. (DIRECTOR) |
| Authorized Official Telephone | 2072129258 |
| Authorized Official Credential | LADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | 606205 | ME | Agencies |
| Y | 251S00000X | Community/Behavioral Health | 605962 | ME | Agencies |
| Street Address |
105 MIDDLE ST |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538791850 | Britany Drake | Counselor | 105 Middle St, Lewiston, ME 04240-7037 | 2020-02-05 |
| 1922643121 | Kimberly J Williams | Counselor | 105 Middle St, Lewiston, ME 04240-7037 | 2019-11-12 |
| 1588148563 | Chelsea Cloutier | Counselor | 105 Middle St, Lewiston, ME 04240-7037 | 2018-09-17 |
| 1922592096 | Recovery Connections of Maine | Clinic/Center | 105 Middle St, Lewiston, ME 04240-7037 | 2018-06-21 |
| 1851643761 | Todd Trefethen | Counselor | 105 Middle St, Lewiston, ME 04240-7037 | 2012-10-03 |
| 1780934844 | Cher Diane Binette | Counselor | 105 Middle St, Suite 1, Lewiston, ME 04240-7037 | 2012-09-17 |
| 1750643953 | Geneva Howes | Counselor | 105 Middle St, Suite 1, Lewiston, ME 04240-7037 | 2012-06-13 |
| 1053678714 | Brandi Masten | Counselor | 105 Middle St, Suite 1, Lewiston, ME 04240-7037 | 2012-04-19 |
| 1013224484 | Martin Joseph Obrien | Counselor | 105 Middle St, Lewiston, ME 04240-7037 | 2010-09-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609476852 | Allied Community Services LLC | Community/Behavioral Health | 476 Sabattus St, Lewiston, ME 04240-4111 | 2020-10-27 |
| 1124627765 | Peace Care Services LLC | Community/Behavioral Health | 145 Lisbon St Ste 508, Lewiston, ME 04240-7241 | 2020-10-24 |
| 1538779566 | Carolyn Elizabeth Barndt | Community/Behavioral Health | 1302 12th St, Lewiston, ID 83501-2932 | 2020-08-04 |
| 1497371868 | Touchstone Support Services LLC | Community/Behavioral Health | 247 Lisbon St # 2, Lewiston, ME 04240-7704 | 2020-06-22 |
| 1770106916 | Rolling Hills Enterprises, Inc. | Community/Behavioral Health | 124 Canal St Ste 2, Lewiston, ME 04240-7711 | 2020-05-22 |
| 1699328336 | Nancy Yombe | Community/Behavioral Health | 280 Stetson Rd, Lewiston, ME 04240-2430 | 2019-07-22 |
| 1679087175 | Minds for Health LLC | Community/Behavioral Health | 15a Westminister Street, Lewiston, ME 04240-7235 | 2017-11-21 |
| 1235683533 | Carpe Diem Behavioral Associates, Inc. | Community/Behavioral Health | 1525 Lisbon St, Lewiston, ME 04240-3515 | 2016-08-04 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| 1952711996 | Kuna Counseling Center | Community/Behavioral Health | 504 Main St Ste 444, Lewiston, ID 83501-1869 | 2014-04-29 |
| Find all providers in LEWISTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.