| Ebbing Tides Counseling Services Llc | |
|
15 Suzanne St Lewiston ME 04240-4606 | |
| (603) 395-3687 | |
| Not Available |
| Full Name | Ebbing Tides Counseling Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 15 Suzanne St, Lewiston, Maine |
| Authorized Official Name and Position | Bridget A. Sakowski (OWNER) |
| Authorized Official Contact | 6033953687 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ebbing Tides Counseling Services Llc 15 Suzanne St Lewiston ME 04240-4606 Ph: (603) 395-3687 | Ebbing Tides Counseling Services Llc 15 Suzanne St Lewiston ME 04240-4606 Ph: (603) 395-3687 |
| NPI Number | 1811756117 |
|---|---|
| Provider Enumeration Date | 03/18/2024 |
| Last Update Date | 03/18/2024 |
| Certification Date | 03/18/2024 |
| Medicare PECOS PAC ID | 7810338233 |
|---|---|
| Medicare Enrollment ID | O20240515003537 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811756117 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bridget A. Sakowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851984751 PECOS PAC ID: 3072962802 Enrollment ID: I20231205003741 |
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