Provider Demographics
NPI:1336420827
Name:HIGHER GROUND CHRISTIAN COUNSELING
Entity type:Organization
Organization Name:HIGHER GROUND CHRISTIAN COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:SCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MA, NCC, LCPC, CADC
Authorized Official - Phone:207-351-6450
Mailing Address - Street 1:PO BOX 591
Mailing Address - Street 2:
Mailing Address - City:YORK BEACH
Mailing Address - State:ME
Mailing Address - Zip Code:03910-0591
Mailing Address - Country:US
Mailing Address - Phone:207-703-2065
Mailing Address - Fax:
Practice Address - Street 1:435 US ROUTE 1
Practice Address - Street 2:
Practice Address - City:KITTERY
Practice Address - State:ME
Practice Address - Zip Code:03904-2510
Practice Address - Country:US
Practice Address - Phone:207-703-2065
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-29
Last Update Date:2011-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECC3599251V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable