RIVER TRAIL COUNSELING AND WELLNESS CENTER, LLC (NPI# 1669966347) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669966347 |
| Entity Type | Organization |
| Organization Name | RIVER TRAIL COUNSELING AND WELLNESS CENTER, LLC |
| Practice Address |
77 Madison Ave Skowhegan ME 04976-1207 |
| Mailing Address |
Po Box 82 Skowhegan ME 04976-0082 |
| Practice Telephone | 2076130055 |
| Mailing Telephone | 2076130055 |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |
| Authorized Official Name | AMANDA CLARK (OWNER) |
| Authorized Official Telephone | 2076130055 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
77 MADISON AVE |
| City | SKOWHEGAN |
| State | ME |
| Zip Code | 04976-1207 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205245636 | Amanda Clark | Social Worker | 77 Madison Ave, Skowhegan, ME 04976 | 2014-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625573 | Alexander Jacob Tyburski | Dentist | 327 North Avenue, Skowhegan, ME 04976 | 2020-06-30 |
| 1033574348 | Northwoods Dental LLC | Dentist | 327 North Ave, Skowhegan, ME 04976 | 2015-12-31 |
| 1073988010 | Elizabeth Ann Corbin | Social Worker | 60 Water Street; Suite 202, Skowhegan, ME 04976 | 2015-12-02 |
| 1861875411 | Rebecca J. Dillingham | Registered Nurse | 1074 Canaan Road, Skowtogan, ME 04976 | 2015-07-01 |
| 1972915411 | Elisa Maria Diaz | Family Medicine | 46 Fairview Ave # 111, Skowhegan, ME 04976 | 2014-06-02 |
| 1215289277 | Alicia Bedard | Social Worker | 5 Commerce Drive, Skowhegan, ME 04976 | 2012-10-15 |
| 1942497276 | Betsy Belanger | Occupational Therapist | 23 Cedar Ridge Drive, Skowhegan, ME 04976 | 2007-10-01 |
| 1033322920 | Msad #54 | Local Education Agency (LEA) | 199 West Front Street, Skowhegan, ME 04976 | 2007-05-07 |
| 1063632263 | Shirley A Manzer | Case Manager/Care Coordinator | 78 Madison Ave, Skowhegan, ME 04976 | 2007-04-27 |
| 1275750259 | Elizabeth Doucette | Specialist | 220 Madsion Ave., Skowhegan, ME 04976 | 2007-04-19 |
| Find all providers in zip 04976 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447311188 | Youth & Family Services, Inc. | Clinic/Center | 5 Commerce Dr, Skowhegan, ME 04976-4823 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679172118 | Acorn & Oak, LLC | Clinic/Center | 6 Elm Street, #1, Kennebunk, ME 04043-7449 | 2020-10-24 |
| 1326682774 | New Hope Residential Care | Clinic/Center | 43 Rollins Way, South Portland, ME 04106-1942 | 2019-10-29 |
| 1821654112 | Hand of Mercy Health Care, LLC | Clinic/Center | 1087 Forest Ave, Portland, ME 04103-3321 | 2019-05-13 |
| 1700358314 | Nikki Wetherell Counseling | Clinic/Center | 19 South St Ste 6, Portland, ME 04101-3963 | 2018-12-20 |
| 1952870792 | Psychwellness, LLC | Clinic/Center | 169 Park Row Ste 6, Brunswick, ME 04011-2039 | 2018-11-23 |
| 1255846531 | Mid-coast Family Wellness Center, LLC | Clinic/Center | 219 Route One Ste 101, Edgecomb, ME 04556-3000 | 2017-12-07 |
| 1073037099 | Next Step Domestic Violence Project | Clinic/Center | 733 Bangor Rd, Ellsworth, ME 04605-3580 | 2017-08-01 |
| 1306170295 | Department of Veterans Affairs | Clinic/Center | 99 River Rd, Lincoln, ME 04457-4012 | 2009-09-24 |
| 1881831329 | Wings for Children and Families Inc. | Clinic/Center | 900 Hammond St, Suite 915, Bangor, ME 04401-4378 | 2009-01-20 |
| 1891733309 | Maine Behavioral Healthcare | Clinic/Center | 2 Springbrook Dr, Biddeford, ME 04005-9443 | 2006-06-04 |
| Find all providers with the same taxonomy | ||||
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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.