| Tide Meadow Counseling Llc | |
|
1132 Route 1 Suite 5 York ME 03909-0390 | |
| (207) 450-6565 | |
| Not Available |
| Full Name | Tide Meadow Counseling Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1132 Route 1 Suite 5, York, Maine |
| Authorized Official Name and Position | Elizabeth Ehret Bardwell (PRESIDENT) |
| Authorized Official Contact | 2074506565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tide Meadow Counseling Llc Po Box 893 York Harbor ME 03911-0893 Ph: (207) 450-6565 | Tide Meadow Counseling Llc 1132 Route 1 Suite 5 York ME 03909-0390 Ph: (207) 450-6565 |
| NPI Number | 1134990153 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 01/09/2024 |
| Certification Date | 01/08/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134990153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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