Southern Maine Psychotherapy LLC
NPI #1164299194 in Scarborough, Maine
Provider Information
- NPI Number
- 1164299194
- Entity Type
- Organization
- Organization Name
- Southern Maine Psychotherapy LLC
- Primary Specialty
- Social Worker - Clinical
- Enumeration Date
- Dec 11, 2023
- Last Updated
- Sep 16, 2025
Practice Location
- Address
- 20 MUSSEY RD
- City
- Scarborough
- State
- Maine
- ZIP Code
- 04074-9570
- Phone
- (207) 200-5621
Authorized Official
- Name
- MICHAEL JOHNSTON, LCSW
- Title
- PROVIDER/OWNER
- Phone
- (207) 200-5621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
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