SOUTHERN MAINE SUPPORT SERVICES LLC
NPI 1144037649
Clinic/Center - Mental Health (Including Community Mental Health Center) in Westbrook, ME

Active since December 17, 2024
39 MECHANIC ST, WESTBROOK, ME 04092(207) 770-8148 Get Directions Write a Review

NPPES record last updated: December 26, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 26, 2024, Dec 17, 2024 (2 updates tracked since 2024).

  • Organization
  • Clinic/Center
  • Mental Health (Including Community Menta...

About SOUTHERN MAINE SUPPORT SERVICES LLC

This page provides the complete NPI Profile along with additional information for Southern Maine Support Services Llc, a provider established in Westbrook, Maine operating as a Clinic/center, focusing in mental health (including community mental health center) . The healthcare provider is registered in the NPI registry with number 1144037649 assigned on December 2024. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Abdiaziz Mohamed (Manager)

NPI
1144037649 Verify this NPI
Provider Name
SOUTHERN MAINE SUPPORT SERVICES LLC
Entity Type
Organization
Location Address
39 MECHANIC ST WESTBROOK, ME 04092
Location Phone
(207) 770-8148
Mailing Address
39 MECHANIC ST WESTBROOK, ME 04092
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-17-2024
Last Update Date
12-26-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Mental Health (Including Community Mental Health Center)

Taxonomy Code
261QM0801X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ABDIAZIZ MOHAMED

Authorized Official Title
MANAGER
Authorized Official Phone
(207) 615-3103

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Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Counselor (Professional)
39 MECHANIC ST
WESTBROOK, ME 04092
Counselor (Mental Health)
39 MECHANIC ST
WESTBROOK, ME 04092
Counselor (Mental Health)
39 MECHANIC ST
WESTBROOK, ME 04092
Massage Therapist
39 MECHANIC ST
WESTBROOK, ME 04092
Nurse Practitioner
39 MECHANIC ST
WESTBROOK, ME 04092
Behavior Technician
39 MECHANIC ST
WESTBROOK, ME 04092

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144037649, enumerated as an "organization" on December 17, 2024.

The provider is located at 39 MECHANIC ST WESTBROOK, ME 04092 and the phone number is (207) 770-8148.

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).