Elliot, Emily E

Elliot, Emily E is an individual health care provider with primary practice located at 165 Lancaster St , Portland ME 04101-2406. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Elliot, Emily E can be contacted via phone (207) 874-1030.

Contact Information

Primary practice address
165 Lancaster St Portland ME 04101-2406
Phone: (207) 874-1030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X XL3603 Maine
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC4159 Maine

Profile Details

NPI number 1477884450
LBN Legal business name Elliot, Emily E
Credentials LCPC-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2010
Last updated Jun 17th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477884450 NPPES
Maine MEDICAID 435433099

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