Lenore P Patrakis-Spanger
Individual provider Active NPI Mental Health Counselor · Portland, ME
NPI 1497074447 · NPPES record last updated Aug 23, 2018
Key facts
- NPI
- 1497074447
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- LC4005 (ME)
- Practice address
- 75 Washinton Avenue
Portland, ME 04101 - Phone
- (207) 772-4110
- Fax
- (207) 761-0748
- NPI assigned
- May 28, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC4005 | ME | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Annie E. Casey Foundation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | LC4005 | ME | Yes |
Addresses
Primary practice location
75 Washinton Avenue
Portland, ME 04101
Mailing address
75 Washinton Avenue
Portland, ME 04101
Phone (207) 772-4110
Other providers in Portland, ME
- Urvi J Patel
- Jane Frances Paterson
- Pathway Health Services LLC
- Audrey Patin
- Sarah Elizabeth Paton
- Jason Thomas Patregnani
- Monica Chen Patregnani
- Patricia Duffett Psychotherapy, LLC
- Patricia Proulx-Lough Counseling, PLLC
- Carey Patrick Wertz
All providers in Portland, ME · Mental Health Counselor in Maine
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2018. 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.