Provider Demographics
NPI:1992418198
Name:AZURE COUNSELING LLC
Entity type:Organization
Organization Name:AZURE COUNSELING LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING SPECIALIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:DANIELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CAREY-SILVERI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:844-839-5735
Mailing Address - Street 1:273 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04096-6753
Mailing Address - Country:US
Mailing Address - Phone:207-415-3649
Mailing Address - Fax:844-839-4800
Practice Address - Street 1:273 MAIN ST STE 5-2
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6753
Practice Address - Country:US
Practice Address - Phone:207-415-3649
Practice Address - Fax:844-839-4800
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-03
Last Update Date:2023-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty