Lifeline, Addiction and Recovery Services, LLC
Organization Active NPI Methadone Clinic · Van Buren, ME
NPI 1194640698 · NPPES record last updated Aug 12, 2026
Key facts
- NPI
- 1194640698
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- Legal business name
- LIFELINE, ADDICTION AND RECOVERY SERVICES, LLC
- Practice address
- 204 Main St
Van Buren, ME 04785-2214 - Phone
- (207) 492-7500
- NPI assigned
- Aug 12, 2026
- Organization subpart
- No
Authorized official
- Name
- Myles Peter Ouellette, LADC, CCS
- Title
- Owner / Clinical Supervisor
- Phone
- (207) 436-5195
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Addiction (Substance Use Disorder) Psychologist |
103TA0400X | |||
| Addiction (Substance Use Disorder) Registered Nurse |
163WA0400X | |||
| Addiction Medicine (Family Medicine) Physician |
207QA0401X | |||
| Addiction Medicine (Preventive Medicine) Physician |
2083A0300X | |||
| Addiction Medicine (Psychiatry & Neurology) Physician |
2084A0401X | |||
| Recreation Therapist |
225800000X | |||
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Methadone Clinic | 261QM2800X | Yes | ||
| Private Vehicle | 347C00000X |
Addresses
Primary practice location
204 Main St
Van Buren, ME 04785-2214
Mailing address
PO Box 165
Van Buren, ME 04785-0165
Phone (207) 436-5195
Other providers in Van Buren, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.