Basic Information
Provider Information | |||||||||
NPI: | 1770989709 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | WESTWOOD-PERKINS | ||||||||
FirstName: | ARTHENAEA | ||||||||
MiddleName: | MORRIGAN | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | LCPC | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: | WESTWOOD | ||||||||
OtherFirstName: | HEATHER | ||||||||
OtherMiddleName: | ARTHENAEA MORRIGAN | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: | LCPC-C | ||||||||
OtherLastNameType: | 1 | ||||||||
Mailing Information | |||||||||
Address1: | 700 MOUNT HOPE AVE STE 420 | ||||||||
Address2: |   | ||||||||
City: | BANGOR | ||||||||
State: | ME | ||||||||
PostalCode: | 044015678 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2079475337 | ||||||||
FaxNumber: |   | ||||||||
Practice Location | |||||||||
Address1: | 40 SUMMER ST | ||||||||
Address2: |   | ||||||||
City: | BANGOR | ||||||||
State: | ME | ||||||||
PostalCode: | 044016446 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 2079454240 | ||||||||
FaxNumber: |   | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 11/19/2014 | ||||||||
LastUpdateDate: | 11/16/2021 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | N | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: | 11/16/2021 |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | 103TC1900X | ME | N |   | Behavioral Health & Social Service Providers | Counselor | Professional | 101YM0800X | XL4428 | ME | N |   | Behavioral Health & Social Service Providers | Counselor | Mental Health | 101YP2500X | CC4997 | ME | Y |   | Behavioral Health & Social Service Providers | Counselor | Professional |
No ID Information.