<Unavail>

LBN: Midlands Neurobehavioral Services, Llc
<Unavail> is an health care organization with primary practice located at 621 Hammond St Ste 4 , Bangor ME 04401-4586. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is the primary health care specialty. Midlands Neurobehavioral Services, Llc can be contacted via phone (207) 307-7860, or through Kirby, Shawna Blake via phone (207) 307-7860.

Contact Information

Primary practice address
621 Hammond St Ste 4 Bangor ME 04401-4586
Phone: (207) 307-7860
Fax: (888) 352-7678
Website:
Map and Directions
Authorized official contact:
Name: Kirby, Shawna Blake PHD
Phone: (207) 307-7860

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 1251 South Carolina
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1251 South Carolina
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1447709431
LBN Legal business name Midlands Neurobehavioral Services, Llc
DBA Doing business as <Unavail>
Authorized official Kirby, Shawna Blake PHD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 2nd, 2016
Last updated Oct 28th, 2025 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447709431 NPPES
Maine MEDICAID METPID014444
Maine MEDICAID PS0613
Maine Other PSY1251
Maine Other PS2529

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