PORTLAND DOULA COLLABORATIVE (NPI# 1548675200) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548675200 |
| Entity Type | Organization |
| Organization Name | PORTLAND DOULA COLLABORATIVE |
| Practice Address |
30 Upper Mast Landing Rd Freeport ME 04032-6417 |
| Practice Telephone | 2076321242 |
| Enumeration Date | 2014-06-21 |
| Last Update Date | 2014-06-21 |
| Authorized Official Name | MARY E LATENDRESSE (OWNER, LMT, CPMT, DOULA) |
| Authorized Official Telephone | 2076321242 |
| Authorized Official Credential | LMT, CPMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 374J00000X | Doula | Nursing Service Related Providers | ||
| Y | 225700000X | Massage Therapist | MT2239 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
30 UPPER MAST LANDING RD |
| City | FREEPORT |
| State | ME |
| Zip Code | 04032-6417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801355920 | Joyce Mary Nadeau | Psychologist | 4 Picnic Hill Rd, Freeport, ME 04032 | 2019-03-18 |
| 1689157729 | Tim Spaulding | Occupational Therapist | Hawthorne House, 6 Old County Rd, Freeport, ME 04032 | 2018-09-14 |
| 1538698212 | Travis Jeffery Bouchard | Surgery | 601 E. Hampden Ave., #220, Englewood, CA 04032 | 2017-06-07 |
| 1649522608 | Heather Danielle Parlin | Counselor | 19 Hunter Rd, Freeport, ME 04032 | 2012-10-15 |
| 1609137843 | Access Health Renewal | Clinic/Center | 174 So. Freeport Road, Suite 2a, Freeport, ME 04032 | 2012-06-05 |
| 1942571427 | Meghan Kathleen Gorchoff | Counselor | 13 Foggs Pt. Rd., Freeport, ME 04032 | 2012-01-16 |
| 1043435928 | Meredith Wall | Physician Assistant | 7 Campus Drive, Intermed Onsite At Llbean, Freeport, ME 04032 | 2007-04-16 |
| 1437212990 | Phoebe Snovek Prosky | Social Worker | 143 Flying Point Rd, Freeport, ME 04032 | 2006-12-18 |
| 1801955364 | Kenneth Eugene Koenke | Dentist | 37 Bow St, Freeport, ME 04032 | 2006-12-08 |
| 1497851885 | Kathleen Ellen Sullivan | Social Worker | 16 Lincoln St., Suite C, Brunswick, ME 04032 | 2006-09-15 |
| Find all providers in zip 04032 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851952584 | Adam Schoff | Massage Therapist | 15 Main St Ste 13, Freeport, ME 04032-1164 | 2019-06-24 |
| 1083062491 | Stephanie Garner | Massage Therapist | 641 W Stephenson St, Freeport, IL 61032-5005 | 2016-05-25 |
| 1033528906 | Julie Marcure | Massage Therapist | 418 W Meadows Dr, Freeport, IL 61032-7606 | 2014-08-05 |
| 1568801215 | Chelsea L Taylor | Massage Therapist | 4 Chase Ct, Freeport, ME 04032-1017 | 2013-06-17 |
| 1275879116 | Jessica E Pizzo | Massage Therapist | 475 Us Route 1, Freeport, ME 04032-7019 | 2012-12-21 |
| 1245584598 | Mary E Brown | Massage Therapist | 815 W. Pleasant Street, Freeport, IL 61032 | 2012-11-07 |
| 1033480983 | Dina Kennedy | Massage Therapist | 299 Bay Grove Rd, Freeport, FL 32439-4833 | 2012-01-24 |
| 1376877399 | Amy R Chiu | Massage Therapist | 541 Us Route 1, Suite 11, Freeport, ME 04032-7027 | 2009-09-23 |
| 1053515502 | Amber Ruth Benson | Massage Therapist | 206 S Galena Ave, Suite 10, Freeport, IL 61032-5174 | 2007-06-11 |
| 1760499107 | Jennifer Sommermann | Massage Therapist | 67 E 2nd St, Freeport, NY 11520-5731 | 2006-08-01 |
| Find all providers in FREEPORT | ||||
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| 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.