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General NPI Number Information
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NPI Number | 1548116122
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Entity Type | Organization
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Legal Business Name | WELLNESS SOLUTIONS TIFFANY LLC
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Dates
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Enumeration Date | 03/06/2026
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Last Update Date | 03/06/2026
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Provider Practice Location Address
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Address Line | 22 NORTH ST STE 2
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City | HOULTON
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State | ME
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Zip | 04730-1833
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Country | US
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Telephone | 207-204-4815
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Fax |
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Provider Business Mailing Address
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Address Line | 6 CYPRESS LN STE 2
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City | LINNEUS
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State | ME
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Zip | 04730-5030
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Country | US
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Telephone | 207-204-4815
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH COUNSELOR
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Name | TIFFANY PATREA MCGUIRE
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Credential | MA, LCPC
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Telephone | 207-204-4815
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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