Cultivated Wellness Psychotherapy LLC

Organization Active NPI Clinical Social Worker · Lewiston, ME

NPI 1942909403 · NPPES record last updated Aug 20, 2024

Key facts

NPI
1942909403
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
Legal business name
CULTIVATED WELLNESS PSYCHOTHERAPY LLC
Practice address
10 Wilson St
Lewiston, ME 04240-5422
Phone
(207) 252-9303
NPI assigned
Feb 23, 2023
Organization subpart
No

Authorized official

Name
Trinity Nicole Macomber, LCSW
Title
Founder/ Clinical Director
Phone
(207) 252-9303

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193400000X SINGLE SPECIALTY GROUP
1041C0700X Yes

Addresses

Primary practice location

10 Wilson St
Lewiston, ME 04240-5422

Mailing address

10 Wilson St
Lewiston, ME 04240-5422
Phone (207) 252-9303

Other providers in Lewiston, ME

All providers in Lewiston, ME · Clinical Social Worker in Maine

Sources for this page

Verify at the official NPI Registry.