Doctor Name: | MR. LYTFI VOLKSMYTH |
NPI Number: | 1013006402 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW, LADC, CCS |
License Number: | LC3842 |
Business Practice Address: | 32 N High St Bridgton, ME - 040091125 |
Business Phone Number: | 2076475629 |
Business Fax Number: | 2076475620 |
Mailing Address: | 144 Spring St, PORTLAND |
State: | ME |
Postal Code: | 041013830 |
Phone Number: | 2034944277 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2006 |
NPI Last Update Date: | 01/23/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | LC3842 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |