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PHOENIX R JETT
NPI 1750026860
Counselor - Addiction (Substance Use Disorder) in Lewiston, ME

Active since May 03, 2022
18 MOLLISON WAY, LEWISTON, ME 04240(207) 312-6860 Get Directions Write a Review

NPPES record last updated: August 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 7, 2024, May 3, 2022 (2 updates tracked since 2022).

About Phoenix R Jett NPPES

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

PHOENIX R JETT (NPI 1750026860) is an individual addiction (substance use disorder) provider in Lewiston, Maine, licensed in Maine (CAC7863) and active in the NPI registry since May 2022. She maintains a secondary practice location in Gorham.

NPPES Registry Identity

NPI1750026860
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NamePHOENIX R JETT
Location Address18 MOLLISON WAYLewiston, ME 04240-5811
Mailing Address18 Mollison WayLewiston, ME 04240-5811 · (207) 312-6860
Phone(207) 312-6860
Sole ProprietorNo
Enumeration DateMay 3, 2022
Last NPPES UpdateAugust 7, 20242 updates tracked since enumeration
NPPES CertifiedAugust 7, 2024
✔ NPI 1750026860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in ME · CAC7863
18 MOLLISON WAY, Lewiston, ME 04240
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Other Names 1

Former Name (1)Julie E Theriault Cadc

Secondary Practice Location 1

Location 1341 Main StGorham, ME 04038-1309 · Phone (207) 740-8037

Other Providers at the Same Location NPPES 15

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

PATRICIA WILLIS
Specialist/Technologist (Athletic Trainer)
18 MOLLISON WAY
LEWISTON, ME 04240
Androscoggin County (207) 312-6860
THERESA ANN WING
Registered Nurse (Addiction (Substance Use Disorder))
18 MOLLISON WAY
LEWISTON, ME 04240
Androscoggin County (207) 312-6860
NATASHA A FALOON-RIENDEAU CDAC
Counselor (Addiction (Substance Use Disorder))
18 MOLLISON WAY
LEWISTON, ME 04240
Androscoggin County (207) 312-6860
TAWNYA RICHARDSON
Counselor (Addiction (Substance Use Disorder))
18 MOLLISON WAY
LEWISTON, ME 04240
Androscoggin County (207) 312-6860
TONYA J LABBE CADC
Counselor (Addiction (Substance Use Disorder))
18 MOLLISON WAY
LEWISTON, ME 04240
Androscoggin County (207) 312-6860
DR. ANNABEL L BRADFORD MD
Psychiatry & Neurology (Psychiatry)
18 MOLLISON WAY
LEWISTON, ME 04240
Androscoggin County (207) 503-6693
AMY ST. PIERRE LPN
Licensed Practical Nurse
18 MOLLISON WAY
LEWISTON, ME 04240
Androscoggin County (207) 514-1178
TRENA JACKSON LADC
Counselor (Addiction (Substance Use Disorder))
18 MOLLISON WAY
LEWISTON, ME 04240
Androscoggin County (207) 312-6860

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phoenix Jett's NPI number?

The NPI number for Phoenix Jett is 1750026860. It was assigned to this individual provider in the NPPES registry on May 3, 2022. The provider is also known as Julie E Theriault Cadc.

Where is Phoenix Jett located?

Phoenix Jett practices at 18 Mollison Way, Lewiston, ME 04240. The listed phone number is (207) 312-6860.

What is Phoenix Jett's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Phoenix Jett was last updated on August 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.