Purple Couch Holistic Healing, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

PURPLE COUCH HOLISTIC HEALING, LLC

Practice address

20 Paris St
Norway, ME 04268-5654

Phone

(207) 907-6309

NPI assigned

Jul 9, 2019

Last updated

Jul 9, 2019By 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

Kelly Bruneau, LCPC

Title

Owner

Phone

(207) 907-6309

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562630400000",
    "number": "1386206506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 PARIS ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 PARIS ST",
            "city": "NORWAY",
            "state": "ME",
            "postal_code": "042685654",
            "telephone_number": "207-907-6309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURPLE COUCH HOLISTIC HEALING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-09",
        "last_updated": "2019-07-09",
        "status": "A",
        "authorized_official_last_name": "BRUNEAU",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-907-6309",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane W Post, PT
• Michaele J Potvin, LCSW
• Maria Pousson, LCPC
• Zachary Aaron Priest, FNP
• Heather Pulkkinen
• Carole Elizabeth Quiroz, CRNA
• Cortney A. Raasumaa, LCSW
• Shantanu N Razdan, M.D.
• Allan E Reis, MD
• Christine M Renaud, LCSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in Norway, ME
• Providers in Norway, ME by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2019; 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.