MR. RIVER JOSHUA-DAVID BANKS (NPI# 1760023048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760023048 |
| Entity Type | Individual |
| Full Name | MR. RIVER JOSHUA-DAVID BANKS |
| Credential | CADC |
| Practice Address |
105 Middle St # 3 Lewiston ME 04240-7037 |
| Mailing Address |
77 Oak St Lewiston ME 04240-7108 |
| Practice Telephone | 2074407922 |
| Mailing Telephone | 2075090000 |
| Enumeration Date | 2019-10-08 |
| Last Update Date | 2019-10-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CAC6990 | ME | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ME | C ADC | CAC6990 | 01 |
| Street Address |
105 MIDDLE ST # 3 |
| City | LEWISTON |
| State | ME |
| Zip Code | 04240-7037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538773882 | Hannah Page Guerrette | Speech-Language Pathologist | 2 Strawberry Ave, Lewiston, ME 04240 | 2020-09-03 |
| 1497392500 | Samuel C Larouche | Social Worker | 100 Campus Ave Stes A&b, Lewiston, ME 04240 | 2019-12-09 |
| 1972145019 | Pomarand Behavioral Services | Nurse Practitioner | 217 Main St., Suite 201, Lewiston, ME 04240 | 2019-10-10 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1548769524 | Kevin Ryan | Physician Assistant | 12 High Street Suite 102, Lewiston, ME 04240 | 2018-02-06 |
| 1033637673 | Wellness Center | Clinic/Center | 37 Park Street, Suite 305, Lewiston, ME 04240 | 2017-09-04 |
| 1710404561 | Colasante Chiropractic, LLC | Clinic/Center | 184 Webster Street, #100, Lewiston, ME 04240 | 2017-08-23 |
| 1609398544 | Lindsey Laforge | Occupational Therapist | 984 1/2 Sabattus Street, Lewiston, ME 04240 | 2017-07-12 |
| 1861922478 | Seth Toothaker | Counselor | 1190 Lisbon Street, Lewiston, ME 04240 | 2017-06-15 |
| 1861850828 | Black Bear Support Services, LLC | Community/Behavioral Health | 571 Sabattus Street, Suite 15, Lewiston, ME 04240 | 2016-02-05 |
| Find all providers in zip 04240 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952936106 | Lexi Jade Beals | Counselor | 217 Main St Ste 202, Lewiston, ME 04240-8193 | 2020-03-09 |
| 1396248258 | William Bucklin | Counselor | 17 Main St Fl 2, Lewiston, ME 04240 | 2018-03-16 |
| 1649717380 | Tiffany R. Manson | Counselor | 331 Pine St Fl 1, Lewiston, ME 04240-6308 | 2017-01-19 |
| 1306389283 | Michael Connors | Counselor | 550 Lisbon St, Lewiston, ME 04240-6580 | 2016-11-28 |
| 1104235928 | William H Churchill | Counselor | 145 Lisbon St Ste 507, Lewiston, ME 04240-7241 | 2014-08-06 |
| 1952741894 | Edward Marshall Hanson | Counselor | 369 Main, Key 3 West, Lewiston, ME 04240-7030 | 2013-06-25 |
| 1174870505 | Jeannine Arlene Dumas | Counselor | 83 Chestnut St Apt 2, Lewiston, Lewiston, ME 04240-7781 | 2012-08-03 |
| 1275805319 | Sherri Talbot | Counselor | 101 East Ave, Lewiston, ME 04240-5662 | 2012-02-06 |
| 1164791034 | Valerie M Poole | Counselor | 190 Bates St, Lewiston, ME 04240-7329 | 2011-12-22 |
| 1225330699 | Michael Robert Roy | Counselor | 461 East Ave, Lewiston, ME 04240-4044 | 2010-11-17 |
| Find all providers in LEWISTON | ||||
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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.