Michael Lymneos Inc.

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

446257 Issued in ME

Legal business name

MICHAEL LYMNEOS INC.

Doing business as

Lymneos Treatment Associates

Practice address

4 Whites Bridge Rd
Suite 300
Windham, ME 04062-5387

Phone

(207) 892-0505

Fax

(207) 892-0507

NPI assigned

Apr 9, 2007

Last updated

Aug 22, 2020By 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

Michael Lymneos, LADC, NCAC1, CCS

Title

President

Phone

(207) 892-0505

Specialties & licenses 1

Addresses

Other names 1

• Lymneos Treatment Associates Doing business as

Locations

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1336262955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 WHITES BRIDGE RD",
            "address_2": "SUITE 300",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625387",
            "telephone_number": "207-892-0505",
            "fax_number": "207-892-0507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 WHITES BRIDGE RD",
            "address_2": "SUITE 300",
            "city": "WINDHAM",
            "state": "ME",
            "postal_code": "040625387",
            "telephone_number": "207-892-0505",
            "fax_number": "207-892-0507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL LYMNEOS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LYMNEOS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "207-892-0505",
        "authorized_official_credential": "LADC, NCAC1, CCS"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "ME",
            "license": "446257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lymneos Treatment Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Use Disorder Rehabilitation Clinic/Center in Windham, ME
• Providers in Windham, ME by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.