Eliza LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ELIZA LLC

Doing business as

Spa Voyage

Practice address

21Hi Western Ave
Kennebunk, ME 04043

Phone

(207) 313-9114

NPI assigned

May 10, 2023

Organization subpart

Yes

Parent organization

ELIZA LLCAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Elizabeth Michea Danine Conley-Lepene

Title

Owner

Phone

(207) 480-9183

Specialties & licenses 1

Addresses

Other names 1

• Spa Voyage Doing business as

Part of

Eliza LLC

Locations

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683676800000",
    "number": "1811687296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 282",
            "city": "SACO",
            "state": "ME",
            "postal_code": "040720282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21HI WESTERN AVE",
            "city": "KENNEBUNK",
            "state": "ME",
            "postal_code": "04043",
            "telephone_number": "207-313-9114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZA LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ELIZA LLC",
        "enumeration_date": "2023-05-10",
        "last_updated": "2023-05-10",
        "certification_date": "2023-04-27",
        "status": "A",
        "authorized_official_last_name": "CONLEY-LEPENE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "MICHEA DANINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "207-480-9183",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Spa Voyage",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Joan S Elkins, M.D.
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• Brian Randall Ewy, DO
• Faldman Chiropractic Center

• Massage Therapist in Kennebunk, ME
• Providers in Kennebunk, ME by specialty
• Massage Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2023; 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.