THE INTEGRATED LIFE - NPI 1164150520 - Counselor in Gorham, ME

Q: What is The Integrated Life's NPI number?

The NPI number for The Integrated Life is 1164150520. It was assigned to this organization in the NPPES registry on August 12, 2022.

Q: What is The Integrated Life's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

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About The Integrated Life NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE INTEGRATED LIFE (NPI 1164150520) is a healthcare organization registered as a counselor in Gorham, Maine and active in the NPI registry since August 2022. The organization lists Jamie Racine, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1164150520

Entity TypeOrganization

Primary Taxonomy101Y00000X

Legal Business NameTHE INTEGRATED LIFE

Location Address28 STATE ST STE 5Gorham, ME 04038-1147

Mailing Address28 State St Ste 5Gorham, ME 04038-1147 · (207) 894-4278

Phone(207) 894-4278

Organization SubpartNo

Authorized OfficialJamie RacineOwner/director · (207) 894-4278

Enumeration DateAugust 12, 2022

NPPES CertifiedAugust 12, 2022

✔ NPI 1164150520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

28 STATE ST STE 5, Gorham, ME 04038

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Other Names 1

Other NameThe Integrated Life

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAMIE RACINE

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