MARY ELIZABETH PETRINI


Address: 86 Winthrop St Ste 3, Augusta, ME 04330-5566
Phone: 2074467567

MARY ELIZABETH PETRINI (NPI# 1376759456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376759456
Entity Type Individual
Full Name MARY ELIZABETH PETRINI
Credential LCPC
Practice Address 86 Winthrop St Ste 3
Augusta
ME 04330-5566
Mailing Address 348 Town Farm Rd
Oakland
ME 04963-4206
Practice Telephone 2074467567
Practice Fax Number 2076208595
Mailing Telephone 2074467567
Mailing Fax Number 2076208595
Enumeration Date 2007-05-15
Last Update Date 2018-10-29
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers

Other Providers MARY PETRINI

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1619371424 Mary Petrini Massage Therapist 2152 S Vineyard, Mesa, AZ 85210-6871 2014-10-22
1013181304 Mary Petrini Registered Nurse 2447 N 3rd St, Harrisburg, PA 17110-1944 2008-04-17

Office Location

Street Address 86 WINTHROP ST STE 3
City AUGUSTA
State ME
Zip Code 04330-5566

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1790238442 Nicole Lacrosse Behavioral Analyst 53 Hayden Rd, Augusta, ME 04330 2016-07-29
1093176844 Richard J. Larrabee Counselor 312 Townhouse Road, Chelsea, ME 04330 2016-03-08
1376910984 Sarah C. A. Tatlock Social Worker 41 Anthony Ave, Augusta, ME 04330 2015-08-31
1457728180 Va Maine Health General Acute Care Hospital 1 Va Center 05, Va Maine Healthcare System-togus, Augusta, ME 04330 2015-08-28
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1205219987 Trevor Holbert Audiologist 1 Va Center - Togus Va Medical Center, Audiology 126a, Augusta, ME 04330 2015-06-30
1659787836 Hannah M. Pullen Occupational Therapy Assistant 12 Shuman Ave Ste 16, Augusta, ME 04330 2014-07-08
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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1619539988 Caitlin Gilham Counselor 2945 Walton Way Ext, Augusta, GA 30909-3827 2019-07-08
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1992224299 Trutherapy Lpc Counselor 608 Broad St, Augusta, GA 30901-1444 2017-09-18
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Competitor

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City AUGUSTA
Zip Code 04330

Improve Information

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Dataset Information

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.

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