Active NPIIndividual provider

Tia M Poulin, LADC, CCS

Counselor, Addiction (Substance Use Disorder) in Rockland, Maine

NPI Number1043834153
Practice location
166 New County RD, Rockland, ME 04841-5320
Fax
207-596-0319
Last updated
June 4, 2020

Tia Marie Poulin is a Counselor, Addiction (Substance Use Disorder) based in Rockland, ME. Tia Marie Poulin practices in Rockland, ME and has the professional credentials of LADC, CCS. The NPI Number for Tia Marie Poulin is 1043834153 and holds a License No. LC4776 (ME). The current practice location address for Tia Marie Poulin is 166 New County RD, Rockland, ME 04841-5320 and can be reached out via phone at 207-596-0312 and via fax at 207-596-0319.

Provider Profile Details

NPI Number
1043834153
Provider Name
Tia Marie Poulin
Credential
LADC, CCS
Provider Entity Type
Individual
Gender
Female
Address
166 New County RD, Rockland, ME 04841-5320
Phone Number
207-596-0312
Fax Number
207-596-0319
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
June 4, 2020
Last Update Date
June 4, 2020
Certification Date
June 4, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
166 New County RD
Rockland, ME 04841-5320
State
Maine
Zip
04841-5320
Phone Number
207-596-0312
Fax Number
207-596-0319
Rockland, ME 04841Get directions →

Provider Business Mailing Address Details

Address
166 New County RD
Rockland, ME 04841-5320
City
Rockland
State
ME
Zip
04841-5320
Phone Number
207-596-0312
Fax Number
207-596-0319

License Information

License Number
LC4776
License State
ME
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tia M Poulin, LADC, CCS?

The NPI number of Tia M Poulin, LADC, CCS is 1043834153. It was assigned on June 4, 2020 and is currently active in the NPPES registry.

What is the specialty of Tia M Poulin, LADC, CCS?

Tia M Poulin, LADC, CCS is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in ME under license number LC4776.

Where does Tia M Poulin, LADC, CCS practice?

The practice location is 166 New County RD, Rockland, ME 04841-5320. The office can be reached at 207-596-0312 (phone) or 207-596-0319 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1043834153 directly on the NPPES registry website.

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