Your Journey Behavioral and Mental Health PLLC
Organization Active NPI Psychiatric/Mental Health Nurse Practitioner · Wallagrass, ME
NPI 1346985637 · NPPES record last updated Sep 24, 2024
Key facts
- NPI
- 1346985637
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- Legal business name
- YOUR JOURNEY BEHAVIORAL AND MENTAL HEALTH PLLC
- Practice address
- 45 Church St
Wallagrass, ME 04781-3039 - Phone
- (207) 231-0037
- Fax
- (207) 800-1004
- NPI assigned
- May 1, 2022
- Organization subpart
- No
Authorized official
- Name
- Alicia Soucy, PMHNP
- Title
- Owner
- Phone
- (207) 814-7980
Practitioners 1
-
Alicia Lyn Soucy, PMHNP
National Provider Directory
Locations
180 Bangor Mall Blvd
Bangor, ME 04401
Phone (848) 235-2914
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X | Yes |
Addresses
Primary practice location
45 Church St
Wallagrass, ME 04781-3039
Mailing address
27 Clark Brook Rd
Wallagrass, ME 04781-3201
Phone (207) 814-7980
Other providers in Wallagrass, ME
All providers in Wallagrass, ME · Psychiatric/Mental Health Nurse Practitioner in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2024. 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.