Provider Demographics
NPI:1699557850
Name:EMILY SEVIGNY COUNSELING LLC
Entity type:Organization
Organization Name:EMILY SEVIGNY COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:
Authorized Official - Last Name:SEVIGNY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-944-5789
Mailing Address - Street 1:PO BOX 657
Mailing Address - Street 2:
Mailing Address - City:ORONO
Mailing Address - State:ME
Mailing Address - Zip Code:04473-0657
Mailing Address - Country:US
Mailing Address - Phone:207-370-1285
Mailing Address - Fax:
Practice Address - Street 1:7 EDGEWOOD DR
Practice Address - Street 2:
Practice Address - City:ORONO
Practice Address - State:ME
Practice Address - Zip Code:04473-3644
Practice Address - Country:US
Practice Address - Phone:207-370-1285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-20
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty