WILLIAM BLAINE-WALLACE (NPI# 1730612839) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730612839 |
| Entity Type | Individual |
| Full Name | WILLIAM BLAINE-WALLACE |
| Practice Address |
456 New Vineyard Rd Farmington ME 04938-5216 |
| Practice Telephone | 2074919645 |
| Mailing Telephone | 2074919645 |
| Enumeration Date | 2017-04-05 |
| Last Update Date | 2017-04-05 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
XP4415 | ME | Behavioral Health & Social Service Providers |
| Street Address |
456 NEW VINEYARD RD |
| City | FARMINGTON |
| State | ME |
| Zip Code | 04938-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831704964 | Cary Rae Millbury | Social Worker | 16 Middle Street, Farmington, ME 04938 | 2020-09-15 |
| 1538615224 | Woodlands Senior Living of Farmington, LLC | Alzheimer Center (Dementia Center) | 175 Knowlton Corner Rd., Farmington, ME 04938 | 2016-09-01 |
| 1740617158 | Jason Pratt | Pharmacist | 624 Wilton Road, Farmington, ME 04938 | 2013-09-30 |
| 1194050195 | New Communities, Inc. | Assisted Living Facility | 136 Rosewood Drive, Farmington, ME 04938 | 2009-10-08 |
| 1477787364 | Jennifer Zeliger | Obstetrics & Gynecology | Franklin Health Women's Care, 181 Franklin Health Commons, Farmington, ME 04938 | 2009-05-07 |
| 1649412602 | Work First, Inc. | Day Training, Developmentally Disabled Services | 309 Wilton Road, 309 Wilton Road, Farmington, ME 04938 | 2009-04-06 |
| 1598943110 | Peter W Swallow | Dentist | 107 Box Shop Hill, Farmington, ME 04938 | 2008-02-06 |
| 1477620706 | Scott D Christie | Psychologist | 176 Livermore Falls Road, Farmington, ME 04938 | 2006-11-30 |
| 1104900836 | Angela M Thompson | Social Worker | 144 High Street, Ste 1, Farmington, ME 04938 | 2006-10-25 |
| 1124101464 | Evergreen Behavioral Services | Clinic/Center | 131 Franklin Health Commons, Suite A Mt Blue Health Center, Farmington, ME 04938 | 2006-10-23 |
| Find all providers in zip 04938 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891318101 | Candace Michelle Garcia | Counselor | 6011 Arroyo Dr, Farmington, NM 87402-5366 | 2020-05-20 |
| 1770122954 | Elizabeth Mary Hrubiec Retano | Counselor | 304 Main St Ste 505, Farmington, CT 06032-2985 | 2020-01-05 |
| 1013402965 | Susan Elizabeth Valle | Counselor | 219 E Columbia St, Farmington, MO 63640-3106 | 2018-06-23 |
| 1851885735 | George Killian | Counselor | 400 N Washington St Ste 229, Farmington, MO 63640-1716 | 2018-06-14 |
| 1457842049 | Tara P Therapy, Pllc | Counselor | 128 Southwinds Rd Ste 5-6, Farmington, AR 72730-8652 | 2018-05-20 |
| 1861996613 | Simply Being Wellness Counseling | Counselor | 304 Main St Ste 214, Farmington, CT 06032-2985 | 2018-03-19 |
| 1558870089 | Charles Crawford | Counselor | 6275 Brownsville Rd, Farmington, NY 14425-9550 | 2017-09-27 |
| 1477073211 | Dustin Scott | Counselor | 400 N Washington St Ste 116, Farmington, MO 63640-1716 | 2017-06-22 |
| 1508307463 | Simone Renee Darby | Counselor | 36996 Brittany Hill Dr, Farmington, MI 48335-2910 | 2017-03-12 |
| 1952859886 | Joann L Weston | Counselor | 212 W Columbia St Ste B, Farmington, MO 63640-1700 | 2016-09-20 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 04938 |
Please comment or provide details below to improve the information on WILLIAM BLAINE-WALLACE.
| 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.