Rosalie Genova, LCPC, Ccs
Rosalie Genova, LCPC, Ccs is a Community/Behavioral Health Agency in Portland, Maine. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 3
Practice location Address checks out
1250 Forest Ave Portland Wellness Cooperative Unit 14 Ste 7Portland, ME 04103
Phone: (207) 200-3789
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Mental Health Clinic/Center (primary) | Taxonomy 261QM0850X |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Mental Health Clinic/Center (Including Community Mental Health Center) | Taxonomy 261QM0801X |
Record details
| NPI number | 1134837222 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Rosalie Genova — Owner · (207) 200-3789 |
| NPI enumerated | November 8, 2022 |
| Last updated in NPPES | November 8, 2022 |
| Certification date | November 4, 2022 |
| Mailing address | 1250 Forest Ave, Portland Wellness Cooperative, Unit 14, Suite 7, Portland, ME 04103 |
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