Provider Demographics
NPI:1144197559
Name:PREIS, RANDI B F
Entity type:Individual
Prefix:
First Name:RANDI
Middle Name:B F
Last Name:PREIS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 CASCO TER APT 3
Mailing Address - Street 2:
Mailing Address - City:FALMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04105-1524
Mailing Address - Country:US
Mailing Address - Phone:208-408-9848
Mailing Address - Fax:
Practice Address - Street 1:8 CASCO TER APT 3
Practice Address - Street 2:
Practice Address - City:FALMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04105-1524
Practice Address - Country:US
Practice Address - Phone:207-408-9848
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-21
Last Update Date:2025-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL8218101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health