Organization · Type 2 NPI

Rosalie Genova, Lcpc, CCS

Adult Mental Health Clinic/Center · Portland, ME

NPI number 1134837222 Active

Practice location

1250 Forest Ave, Portland Wellness Cooperative, Unit 14, Suite 7
Portland, ME 04103

Call (207) 200-3789 Map

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency 251S00000XNone listed
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801XNone listed
Adult Mental Health Clinic/Center Primary 261QM0850XNone listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

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About NPI 1134837222

Rosalie Genova, Lcpc, CCS's National Provider Identifier is 1134837222, issued on Nov 8, 2022. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Portland, ME. The record was last updated on Nov 8, 2022.