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Courtney Noelle Shaw, LADC

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Bangor, ME

NPI 1649810656 · NPPES record last updated Dec 30, 2025

Key facts

NPI
1649810656
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
LC9144 (ME)
Practice address
659 Hogan Rd
Bangor, ME 04401-3626
Phone
(207) 973-0400
NPI assigned
Jan 8, 2020
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LC9144MEMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Treatment of Maine LP Current
since Jan 4, 2026		 Accepting new patients

Locations

659 Hogan Rd
Bangor, ME 04401
Phone (207) 973-0400

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X LC9144 ME Yes

Addresses

Primary practice location

659 Hogan Rd
Bangor, ME 04401-3626

Mailing address

659 Hogan Rd
Bangor, ME 04401-3626
Phone (207) 973-0400

Other providers in Bangor, ME

All providers in Bangor, ME · Addiction (Substance Use Disorder) Counselor in Maine

Sources for this page

Verify at the official NPI Registry.