Hackett, Tia Madaffari
Hackett, Tia Madaffari is an individual health care provider with primary practice located at 1039 Islington Street Suite 13, Portsmouth NH 03801. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Hackett, Tia Madaffari can be contacted via phone (603) 766-5066.Contact Information
Primary practice address
1039 Islington Street Suite 13
Portsmouth NH 03801
Phone: (603) 766-5066
Fax: (603) 766-5556
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 89 | New Hampshire |
Profile Details
NPI number | 1003981366 |
---|---|
LBN Legal business name | Hackett, Tia Madaffari |
Credentials | MS, LMFT |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 22nd, 2006 |
Last updated | May 23rd, 2019 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003981366 | NPPES |
New Hampshire | Other | 7706655Y0NH01 | BHN |
New Hampshire | MEDICAID | 99003227 | BHN |
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