MR. BENJAMIN LYLE MACDONALD LCPC-C
NPI 1366106833
Counselor - Professional in Sanford, ME
- Individual
- Male
- Counselor
- Professional
About BENJAMIN MACDONALD
This page provides the complete NPI Profile along with additional information for Benjamin Macdonald, a provider established in Sanford, Maine with a medical specialization in Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1366106833 assigned on October 2021. The practitioner's primary taxonomy code is 101YP2500X with license number XL7193 (ME). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1366106833 Verify this NPI
- Provider Name
- MR. BENJAMIN LYLE MACDONALD LCPC-C
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3 NORMAND AVE APT A SANFORD, ME 04073
- Location Phone
- (207) 303-2509
- Mailing Address
- 439 US ROUTE 1 STE A YORK, ME 03909
- Mailing Phone
- (207) 520-5771
- Mailing Fax
- (207) 520-5788
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 10-29-2021
- Last Update Date
- 04-30-2025
- Code Navigator
Location Map
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
Counselor Professional
- Taxonomy Code
- 101YP2500X
- Type
- Behavioral Health & Social Service Providers
- License No.
- XL7193
- License State
- ME
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1366106833, enumerated as an "individual" on October 29, 2021.
The provider is located at 3 NORMAND AVE APT A SANFORD, ME 04073 and the phone number is (207) 303-2509.
Counselor with taxonomy code 101YP2500X and a focus in Professional.