Protea Integrated Health and Wellness, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

672176 Issued in ME

Legal business name

PROTEA INTEGRATED HEALTH AND WELLNESS, LLC

Practice address

52 Water St
Suite 2
Hallowell, ME 04347-1437

Phone

(207) 430-3777

Fax

(207) 621-4020

NPI assigned

Jun 20, 2014

Last updated

Jun 30, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Leigh Leighton

Title

Director of Vocational Services

Phone

(207) 430-3777

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Julie Burnham

  • Addiction (Substance Use Disorder) Counselor
  • Hallowell, ME
  • NPI 1336512961
  NPD (past)
• Kenneth McCullough, LADC, LCPC

  • Mental Health Counselor
  • Hallowell, ME
  • NPI 1902178080
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404086400000",
    "number": "1083028765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 WATER ST",
            "address_2": "SUITE 2",
            "city": "HALLOWELL",
            "state": "ME",
            "postal_code": "043471437",
            "telephone_number": "207-430-3777",
            "fax_number": "207-621-4020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 WATER ST",
            "address_2": "SUITE 2",
            "city": "HALLOWELL",
            "state": "ME",
            "postal_code": "043471437",
            "telephone_number": "207-430-3777",
            "fax_number": "207-621-4020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROTEA INTEGRATED HEALTH AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-06-30",
        "status": "A",
        "authorized_official_last_name": "LEIGHTON",
        "authorized_official_first_name": "LEIGH",
        "authorized_official_title_or_position": "DIRECTOR OF VOCATIONAL SERVICES",
        "authorized_official_telephone_number": "207-430-3777",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "ME",
            "license": "672176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janis Bacon Petzel, M.D.
• Patricia Sullivan Philbrook, N.P.
• Courtney Phillips
• Kevin Lee Polk, PH.D.
• Christopher Isaiah Pomerleau, DPT, PT
• Shirley A Reed, PT DPT
• Regional School Unit 2
• Terri Lynne Hewett Reiter, LCSW, LADC
• Christopher Rice, LMSW-CC
• River Tree Health Partners, LLC

• Community/Behavioral Health Agency in Hallowell, ME
• Providers in Hallowell, ME by specialty
• Community/Behavioral Health Agency in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.