OrganizationActive
East Coast Wellness LLC
NPI 1447727466 · Clinical Psychologist · Cape Elizabeth, ME
Provider details
- NPI number
- 1447727466
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Loren Bush, Clinical Psychologist(207) 400-5092
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
553 Shore Rd Ste 2
Cape Elizabeth, ME 04107-1010
Phone: (207) 400-5876
Approximate (ZIP-level) locationGet directions
Mailing address
553 Shore Rd Ste 2
Cape Elizabeth, ME 04107-1010
Additional practice locations (1)
- 205 Ocean AvePortland, ME 04103-5712Phone: (207) 773-7993Fax: (207) 773-5512
Registry dates
- Enumerated
- 2018-10-29
- Last updated
- 2021-09-13
- Certified
- 2021-09-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.