Provider Demographics
NPI:1194057463
Name:BARBARA E. BLAND, LLC
Entity type:Organization
Organization Name:BARBARA E. BLAND, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:E
Authorized Official - Last Name:BLAND
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:207-667-1917
Mailing Address - Street 1:29 ORCHARD LN
Mailing Address - Street 2:
Mailing Address - City:LAMOINE
Mailing Address - State:ME
Mailing Address - Zip Code:04605-4464
Mailing Address - Country:US
Mailing Address - Phone:207-667-1917
Mailing Address - Fax:207-667-1814
Practice Address - Street 1:198 MAIN ST
Practice Address - Street 2:SUITE 9
Practice Address - City:ELLSWORTH
Practice Address - State:ME
Practice Address - Zip Code:04605-1941
Practice Address - Country:US
Practice Address - Phone:207-667-1917
Practice Address - Fax:207-667-1814
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-11
Last Update Date:2010-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty