Organization · Type 2 NPI

Sara Dominicus, LCSW PLLC

Mental Health Clinic/Center (Including Community Mental Health Center) · Windham, ME

NPI number 1407669120 Active

Practice location

778 Roosevelt Trl Ste 2B
Windham, ME 04062-5376

Mailing address

23 Shannons Way
Standish, ME 04084-5270

Specialties and licenses

TaxonomyCodeLicense
Mental Health Clinic/Center (Including Community Mental Health Center) Primary 261QM0801XNone listed

Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...

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About NPI 1407669120

Sara Dominicus, LCSW PLLC's National Provider Identifier is 1407669120, issued on Jan 28, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in Windham, ME. The record was last updated on Feb 11, 2025.