The Integrated Life
LBN: The Integrated Life
The Integrated Life is an health care organization with primary practice located at 28 State St Ste 5 , Gorham ME 04038-1147. The organization recently has 2 registered licenses in different health care specialties including Agencies / Case Management, Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty.
The Integrated Life can be contacted via phone (207) 894-4278, or through Racine, Jamie via phone (207) 894-4278.
Contact Information
Primary practice address
28 State St Ste 5
Gorham ME 04038-1147
Phone: (207) 894-4278
Fax:
Website:
Authorized official contact:
Name: Racine, Jamie Licensed Clinical Social Worker (LCSW)
Phone: (207) 894-4278
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Case Management | 251B00000X | ||
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X |
Profile Details
| NPI number | 1972245728 |
|---|---|
| LBN Legal business name | The Integrated Life |
| DBA Doing business as | |
| Authorized official | Racine, Jamie Licensed Clinical Social Worker (LCSW) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 12th, 2022 |
| Last updated | Apr 12th, 2022 - about 4 years ago |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972245728 | NPPES |
| Maine | MEDICAID | METPID007108 | |
| Maine | Other | 1508103052 |
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