DEERSPRING WELLNESS, LLC (NPI# 1851936710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851936710 |
| Entity Type | Organization |
| Organization Name | DEERSPRING WELLNESS, LLC |
| Practice Address |
41 Depot St Bridgton ME 04009-1241 |
| Mailing Address |
41 Depot St Ste 203 Bridgton ME 04009-1241 |
| Practice Telephone | 2075770972 |
| Mailing Telephone | 2075770972 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Authorized Official Name | ALEXANDER THORN (MEMBER, CLINICIAN) |
| Authorized Official Telephone | 2075770972 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 41 Depot St, Bridgton, ME 040091241 | 2075770972 |
| Street Address |
41 DEPOT ST |
| City | BRIDGTON |
| State | ME |
| Zip Code | 04009-1241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124071063 | Colleen Elaine Bolduc | Counselor | 41 Depot St, Bridgton, ME 04009-1212 | 2006-05-19 |
| 1285235770 | Phoenixnest Counseling | Community/Behavioral Health | 41 Depot St, Bridgton, ME 04009-1241 | 2020-11-03 |
| 1073912960 | Heather M Newton Brown | Counselor | 41 Depot St, Bridgton, ME 04009-1241 | 2014-08-18 |
| 1538179296 | Barbara Joyce Sparrow | Counselor | 41 Depot St, Bridgton, ME 04009-1212 | 2006-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780158477 | Kimberly R. Leighton | Specialist | 278 Middle Ridge Rd., Bridgton, ME 04009 | 2019-01-15 |
| 1316435407 | Caitlin D Ambo | Counselor | 32 No High Street, Bridgton, ME 04009 | 2018-04-25 |
| 1205215290 | Brianna J Meister | Counselor | 37 No High Street, Bridgton, ME 04009 | 2015-05-22 |
| 1013120898 | Maine Administrative School District No 61 | Local Education Agency (LEA) | 900 Bridgton Road, Bridgton, ME 04009 | 2007-05-08 |
| 1114051984 | R. Andrew Derstine | Counselor | 236a Portland Rd, Bridgton, ME 04009 | 2007-03-15 |
| 1184784878 | Good Neighbors, Inc | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 119 Sandy Creek Rd, Bridgton, ME 04009 | 2006-12-11 |
| 1578593570 | Lake Region Physical Therapy Pa | Physical Therapist | 593 Harrison Rd, Bridgton, ME 04009 | 2006-07-04 |
| 1164783452 | Kevin Jenkins | Internal Medicine | 10 Hospital Dr, Bridgton, ME 04009 | 2012-06-03 |
| 1225343940 | George T Lee | Pharmacist | 19 Portland St, Bridgton, ME 04009 | 2010-08-18 |
| 1164611703 | Liane Muller, D.o., Pa | Clinic/Center | 63 Main St, Suite A, Bridgton, ME 04009 | 2007-10-19 |
| Find all providers in zip 04009 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437780590 | Cheryl Bedan | Counselor | 300 Portland Rd Ste 1, Bridgton, ME 04009-4227 | 2020-01-28 |
| 1053778324 | Alexander Thorn | Counselor | 41 Depot St Ste 203, Bridgton, ME 04009-1241 | 2016-01-18 |
| 1508222605 | Linda Thorn | Counselor | 41 Depot St Ste 1a, Bridgton, ME 04009-1298 | 2016-01-06 |
| 1194018556 | Echo E Lowell | Counselor | 26 Cottage St Apt A, Bridgton, ME 04009-1136 | 2011-05-18 |
| 1124165527 | Linda A Bennett | Counselor | 59 S High St, Bridgton, ME 04009-1123 | 2007-02-01 |
| 1043827553 | Kristen M Charest | Counselor | 300 Portland Rd Ste 1, Bridgton, ME 04009-4227 | 2020-09-29 |
| 1134558638 | Brittainy S Knight | Counselor | 32 N High St, Bridgton, ME 04009-1125 | 2013-11-05 |
| 1841573789 | Breathing Space LLC | Counselor | 132 Main St, Suite 205, Bridgton, ME 04009-1127 | 2011-09-27 |
| 1386875912 | Jeremy Cass | Counselor | 32 N High St, Bridgton, ME 04009-1125 | 2009-07-30 |
| 1306073135 | June Keniston | Counselor | 32 N High St, Bridgton, ME 04009-1125 | 2009-06-19 |
| Find all providers in BRIDGTON | ||||
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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.