Travers, Ericka Tidmore

Travers, Ericka Tidmore is an individual health care provider with primary practice located at 26 Spring St , Belfast ME 04915-6817. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Travers, Ericka Tidmore can be contacted via phone (207) 561-7269.

Contact Information

Primary practice address
26 Spring St Belfast ME 04915-6817
Phone: (207) 561-7269
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC7487 Maine
Behavioral Health & Social Service Providers / Mental Health 101YM0800X XL6874 Maine

Profile Details

NPI number 1124663695
LBN Legal business name Travers, Ericka Tidmore
Credentials LCPC-C, LADC, CCS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2019
Last updated Oct 12th, 2023 - about 2 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.

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