Thea Skydel Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THEA SKYDEL WELLNESS, LLC

Practice address

17 Merrill St Apt 2
Portland, ME 04101-3278

Phone

(802) 488-4767

NPI assigned

Aug 17, 2026

Last updated

Aug 25, 2026By 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

Anthea Skydel Weiss Churchill, LCSW

Title

Mental Health Clinician

Phone

(207) 902-9302

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1786924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1787616000000",
    "number": "1457266306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MERRILL ST APT 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013278",
            "telephone_number": "207-902-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 MERRILL ST APT 2",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041013278",
            "telephone_number": "802-488-4767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THEA SKYDEL WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-17",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A",
        "authorized_official_last_name": "CHURCHILL",
        "authorized_official_first_name": "ANTHEA",
        "authorized_official_middle_name": "SKYDEL WEISS",
        "authorized_official_title_or_position": "MENTAL HEALTH CLINICIAN",
        "authorized_official_telephone_number": "207-902-9302",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Root Cellar
• The Samaritan Care LLC (Personal Care Agency)
• The Sports Therapy Center LLC
• The Training Room, Inc.
• The Weight Loss & Diabetes Center, LLC (The Weight Loss & Diabetes Center)
• Kaycee Theberge, LMSW-CC
• Matthew A Thees, OD
• Tamer George I Theodory, DDS
• Therapeutic Space With Lara
• Cam L Theriault, LSW-C

• Clinical Social Worker in Portland, ME
• Providers in Portland, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.