Provider Demographics
NPI:1316369028
Name:SEASONS PROMISE PLLC
Entity type:Organization
Organization Name:SEASONS PROMISE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:TRILLIUM
Authorized Official - Last Name:TOULMIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCMHC
Authorized Official - Phone:802-299-6276
Mailing Address - Street 1:4 PARSONS FARM RD
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-7469
Mailing Address - Country:US
Mailing Address - Phone:802-299-6276
Mailing Address - Fax:603-795-2917
Practice Address - Street 1:4 PARSONS FARM RD
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-7469
Practice Address - Country:US
Practice Address - Phone:802-299-6276
Practice Address - Fax:603-795-2917
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH929101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VT1018798Medicaid
ME1250600001Medicaid
NH3071423Medicaid