Provider Demographics
NPI:1104587336
Name:ALISON MCGRATH COUNSELING & COACHING, LLC
Entity type:Organization
Organization Name:ALISON MCGRATH COUNSELING & COACHING, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MA/LCPC/LMHC
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:MCGRATH
Authorized Official - Suffix:
Authorized Official - Credentials:MA, LCPC, LMHC
Authorized Official - Phone:207-844-0577
Mailing Address - Street 1:25 MIDDLE ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04101-4869
Mailing Address - Country:US
Mailing Address - Phone:207-844-0577
Mailing Address - Fax:
Practice Address - Street 1:25 MIDDLE ST
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04101-4869
Practice Address - Country:US
Practice Address - Phone:207-844-0577
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-10
Last Update Date:2022-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)