WATERS EDGE THERAPY, INC (NPI# 1053761270) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053761270 |
| Entity Type | Organization |
| Organization Name | WATERS EDGE THERAPY, INC |
| Practice Address |
127 Worthing Rd Manchester ME 04351-3234 |
| Practice Telephone | 2075300880 |
| Mailing Telephone | 2075300880 |
| Enumeration Date | 2016-06-18 |
| Last Update Date | 2016-06-18 |
| Authorized Official Name | MS. DIANNE M HOWARD MORAND (CLINICIAN) |
| Authorized Official Telephone | 2075300880 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | ME | Agencies |
| Street Address |
127 WORTHING RD |
| City | MANCHESTER |
| State | ME |
| Zip Code | 04351-3234 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497171318 | Peter J Volk | Family Medicine | 23 Bowdoin Street, Manchester, ME 04351 | 2014-03-17 |
| 1740563428 | Insight-premier Health LLC | Clinic/Center | 27 Bowdoin Street, Manchester, ME 04351 | 2011-09-20 |
| 1427353069 | Robin Page Dufour | Physical Therapist | 6 Rockwood Dr, Suite 2, Manchester, ME 04351 | 2011-01-12 |
| 1174839708 | Richard Ofoe Kavi | Pharmacist | 943 Western Ave, Manchester, ME 04351 | 2010-08-20 |
| 1700199031 | Neil A Graves | Pharmacist | 943 Western Ave., Manchester, ME 04351 | 2010-07-15 |
| 1427212059 | Dustin R Sulak | Family Medicine | 964 Western Ave., Manchester, ME 04351 | 2008-07-14 |
| 1437312295 | Crossroads Counseling Center Pllc | Social Worker | 726 Western Ave., Manchester, ME 04351 | 2008-07-02 |
| 1548453616 | Christopher Paul Beaudoin | Social Worker | 15 Range Way Suite 3, Manchester, ME 04351 | 2007-08-22 |
| 1275724288 | Shawn Kenneth Hodgdon | Social Worker | 726 Western Avenue, Manchester, ME 04351 | 2007-08-05 |
| 1790900512 | Scott A Hayward | Social Worker | 15 Range Way, Suite 3, Manchester, ME 04351 | 2007-04-16 |
| Find all providers in zip 04351 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659879500 | New Paths Counseling and Recovery Services | Community/Behavioral Health | 25 Lowell St Ste 203, Manchester, NH 03101-1647 | 2018-01-25 |
| 1821400888 | Emdr Training Center LLC | Community/Behavioral Health | 11 Hassam Ct, Manchester, MO 63021-5105 | 2014-05-27 |
| 1053740662 | Mike Lewis | Community/Behavioral Health | 604 College St, Manchester, TN 37355-1769 | 2013-11-04 |
| 1831534213 | Dickerson Enterprise LLC | Community/Behavioral Health | 872 Vernon St, Manchester, CT 06042-2415 | 2013-04-30 |
| 1932386463 | Family Strategies and Services | Community/Behavioral Health | 117 Market St, Manchester, NH 03101-1933 | 2008-01-28 |
| 1437209749 | Delaware County Community Life | Community/Behavioral Health | 601 Grant Street, Manchester, IA 52057-2005 | 2007-01-11 |
| 1225659956 | Extended Family Care LLC | Community/Behavioral Health | 1001 Mcarthur St, Manchester, TN 37355-2419 | 2020-05-05 |
| 1629620976 | Del Marillac Counseling Services, Pllc | Community/Behavioral Health | 35 High St, Manchester, NH 03104-6116 | 2019-07-16 |
| 1205305497 | Elevate Counseling Services LLC | Community/Behavioral Health | 341 Bidwell St, Manchester, CT 06040-6470 | 2018-11-16 |
| 1356818769 | Granite Pathways, Inc. | Community/Behavioral Health | 1056 River Rd, Manchester, NH 03104-1958 | 2018-10-24 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 04351 |
Please comment or provide details below to improve the information on WATERS EDGE THERAPY, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.