HEALING TIDE THERAPY LLC NPI 1245846971

NPI Information

NPI: 1245846971
Provider Name: HEALING TIDE THERAPY LLC
Classification: Counselor - 101YA0400X
Entity Type: Organization

Specialization: Addiction (Substance Use Disorder)

Address:
29 ELIOT ST
SOUTH PORTLAND, ME
ZIP 04106
Phone: (207) 615-2022
Get Directions

HEALING TIDE THERAPY LLC is an addiction (substance use disorder) counselor in South Portland, ME. HEALING TIDE THERAPY LLC NPI is 1245846971. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

29 ELIOT ST
SOUTH PORTLAND, ME
ZIP 04106-919
Phone: (207) 615-2022

The provider's authorized official is Susan Emily Worcester .
The authorized official title is Clinician / Owner and has the following contact phone number (207) 615-2022.

The enumeration date for this NPI number is 9/18/2020 and was last updated on 9/18/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health			No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »