Edge of Change, LLC

NPI #1376269522 in Augusta, Maine

Provider Information

NPI Number: 1376269522
Entity Type: Organization
Organization Name: Edge of Change, LLC
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Oct 18, 2022
Last Updated: Oct 18, 2022

Practice Location

Address: 116 STATE ST STE 203
City: Augusta
State: Maine
ZIP Code: 04330-5632
Phone: (207) 592-9166

Authorized Official

Name: SARA FENWICK, LCPC
Title: OWNER
Phone: (207) 592-9166

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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