Crossroads for Women, Inc.
Organization Active NPI Mental Health Counselor · Scarborough, ME
NPI 1740272129 · NPPES record last updated Aug 16, 2016
Key facts
- NPI
- 1740272129
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 399004 (ME)
- Legal business name
- CROSSROADS FOR WOMEN, INC.
- Practice address
- 71 US Route 1
Suite E
Scarborough, ME 04074-7173 - Phone
- (207) 773-9931
- Fax
- (207) 879-5576
- NPI assigned
- Aug 22, 2005
- Organization subpart
- No
Authorized official
- Name
- Polly Haight Frawley
- Title
- Chief of Operations
- Phone
- (207) 773-9931
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Crossroads for Women
Locations
71 US Route 1
Ste E
Scarborough, ME 04074
Phone (207) 773-9931
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | 221001 | ME | |
| Mental Health Counselor |
101YM0800X | 399004 | ME | Yes |
| Psychiatry Physician |
2084P0800X | 399004 | ME |
Addresses
Primary practice location
71 US Route 1
Suite E
Scarborough, ME 04074-7173
Mailing address
71 US Route 1
Suite E
Scarborough, ME 04074-7173
Phone (207) 773-9931
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 124450000 | Medicaid | ME |
Other names
- crossroads for women
Other providers in Scarborough, ME
- Emily Crawford
- Tristan Oliver Cray
- Paul Thomas Creedon
- Marcela Criado
- Crossroads for Women, Inc.
- Patrick John Cruden
- Crystal Care Services LLC
- Christian Scott Cumback
- Daniel W Cuozzo
- Current Therapy Equipment, Inc.
All providers in Scarborough, 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 16, 2016. 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.