MANY MOONS PSYCHOTHERAPY SERVICES, INC.
NPI 1427319359
Counselor - Professional in Freeport, ME

Active since June 07, 2012
4 COTTAGE STREET, FREEPORT, ME 04032(207) 504-2664(207) 865-2004 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Jul 27, 2017 (2 updates tracked since 2017).

  • Organization
  • Counselor
  • Professional

About MANY MOONS PSYCHOTHERAPY SERVICES, INC.

This page provides the complete NPI Profile along with additional information for Many Moons Psychotherapy Services, Inc., a provider established in Freeport, Maine operating as a Counselor, focusing in professional . The healthcare provider is registered in the NPI registry with number 1427319359 assigned on June 2012. The practitioner's primary taxonomy code is 101YP2500X with license number CC2454 (). The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Stephanie H Pontti Lcpc (Licensed Clinical Professional Coun)

NPI
1427319359 Verify this NPI
Provider Name
MANY MOONS PSYCHOTHERAPY SERVICES, INC.
Entity Type
Organization
Location Address
4 COTTAGE STREET FREEPORT, ME 04032
Location Phone
(207) 504-2664
Location Fax
(207) 865-2004
Mailing Address
4 COTTAGE STREET FREEPORT, ME 04032
Mailing Phone
(207) 504-2664
Mailing Fax
(207) 865-2004
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-07-2012
Last Update Date
07-21-2022
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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

Counselor Professional

Taxonomy Code
101YP2500X
Type
Behavioral Health & Social Service Providers
License No.
CC2454

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YP2500XBehavioral Health & Social Service Providers

Counselor
Professional

CC2454 (ME)

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

MRS. STEPHANIE H PONTTI LCPC

Authorized Official Title
LICENSED CLINICAL PROFESSIONAL COUN
Authorized Official Phone
(207) 504-2664

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Counselor (Professional)
4 COTTAGE STREET
FREEPORT, ME 04032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427319359, enumerated as an "organization" on June 07, 2012.

The provider is located at 4 COTTAGE STREET FREEPORT, ME 04032 and the phone number is (207) 504-2664.

Counselor with taxonomy code 101YP2500X and a focus in Professional.