Ames, Terah R.

Ames, Terah R. is an individual health care provider with primary practice located at 525 Main St , South Portland ME 04106-5462. 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 / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ames, Terah R. can be contacted via phone (207) 874-1045.

Contact Information

Primary practice address
525 Main St South Portland ME 04106-5462
Phone: (207) 874-1045
Fax: (207) 767-0995
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LC4155 Maine
Behavioral Health & Social Service Providers / Clinical 1041C0700X LC14502 Maine

Profile Details

NPI number 1003143900
LBN Legal business name Ames, Terah R.
Credentials LCSW, LADC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 13th, 2009
Last updated Mar 24th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003143900 NPPES
Maine MEDICAID 432875799

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