Seacoast Collaborative Wellness Llc

NPI Registration Record

Provider / Organization	NPI	Date Certified
SEACOAST COLLABORATIVE WELLNESS LLC	1881261279	2021-06-05

The organization Seacoast Collaborative Wellness Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1881261279. Registration indicates Seacoast Collaborative Wellness Llc is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Community Health, ) (Community Mental Health Center, ) (Clinic/Center Community Health, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity Type	Organization

Provider Organization	SEACOAST COLLABORATIVE WELLNESS LLC
Practice Office Address	13 S EVERGREEN LN ARUNDEL, ME US
Practice Office Telephone	2074673551
Mailing Address	13 S EVERGREEN LN ARUNDEL, ME 040467508 US
Business Telephone	2074673551
Authorized Official	CANDACE VIOLA, OWNER 2074673551

HPT Codes

Code	Practice	License No State
261QC1500X PRIMARY	Ambulatory Health Care Facilities Clinic/Center Clinic/Center: Community Health Community Mental Health Center Clinic/Center Community Health Ambulatory Health Care Facilities Clinic/Center

OPI Codes

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